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Individual

MS. KONI DEL NUGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1912 POST OAK DR, MODESTO, CA 95354-1634
(209) 571-9880
Mailing address
1912 POST OAK DR, MODESTO, CA 95354-1634
(209) 571-9880

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
397643
CA

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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