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1063168151
SELENE GOMEZ
SAN DIEGO, CA
NPI
1063168151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95274249)
Enumeration Date
2022-02-27
Last Update Date
2022-02-27
Business Address
SELENE GOMEZ
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-615-0439
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Mailing Address
SELENE GOMEZ
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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