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1093789000
ELAINE MARIE GACKLE
SAN BERNARDINO, CA
NPI
1093789000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP376074)
Enumeration Date
2006-02-15
Last Update Date
2011-10-03
Business Address
Ms. ELAINE MARIE GACKLE NP
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405-3839
Phone number: 909-213-0001
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Mailing Address
Ms. ELAINE MARIE GACKLE NP
23021 JENSEN CT
GRAND TERRACE, CA 92313-5579
Phone number: 909-783-7933
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