BEGIN:VCARD VERSION:3.0 FN:Karen Ramirez N:Ramirez;Karen;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+12092222378 URL:https://www.gale.care/providers/ca/modesto/karen-ramirez-1730647983 NOTE:NPI 1730647983. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1730647983 END:VCARD