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1003180498
GERARDO M DE JESUS
SANTA ANA, CA
NPI
1003180498
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Other Name
GERRY M DE JESUS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: CA NP8908)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
MR. GERARDO M DE JESUS NP
550 N FLOWER ST
SANTA ANA, CA 92703-2361
Phone number: 714-647-4170
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Mailing Address
MR. GERARDO M DE JESUS NP
17989 VIA FRONTERA
CHINO HILLS, CA 91709-3927
Phone number: 760-668-8458
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