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1083015283
MARIO GONZALEZ
FORT STEWART, GA
NPI
1083015283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX E3104001)
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
MARIO GONZALEZ
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 209-581-6319
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Mailing Address
MARIO GONZALEZ
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number:
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