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1114304987
JOSE ANTONIO GOMEZ
FRESNO, CA
NPI
1114304987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 13326)
Enumeration Date
2015-04-30
Last Update Date
2016-01-11
Business Address
-- JOSE ANTONIO GOMEZ OTR/L
2505 W SHAW AVE BLDG A
FRESNO, CA 93711-3334
Phone number: 559-228-9100
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Mailing Address
-- JOSE ANTONIO GOMEZ OTR/L
309 N GRANADA DR
MADERA, CA 93637-4120
Phone number: 831-254-1174
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