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1003522897
THERESA AMMONS GONZALEZ
LOS ANGELES, CA
NPI
1003522897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95023849)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
THERESA AMMONS GONZALEZ NP
4700 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027-6082
Phone number: 323-783-6970
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Mailing Address
THERESA AMMONS GONZALEZ NP
430 JENNY DR
NEWBURY PARK, CA 91320-2922
Phone number: 732-500-3222
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