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1083626816
RICHARD JOSEPH GONZALES
LOS ANGELES, CA
NPI
1083626816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA14646)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mr. RICHARD JOSEPH GONZALES Physician Assistant
1212 S FLOWER ST
LOS ANGELES, CA 90015-2123
Phone number: 213-747-0634
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Mailing Address
Mr. RICHARD JOSEPH GONZALES Physician Assistant
6913 LAURA ST
FONTANA, CA 92336-4443
Phone number: 909-574-2057
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