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1124881016
EDGAR GONZAGA
SACRAMENTO, CA
NPI
1124881016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
EDGAR GONZAGA
8950 CAL CENTER DR STE 120
SACRAMENTO, CA 95826-3247
Phone number: 916-299-8379
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Mailing Address
EDGAR GONZAGA
8950 CAL CENTER DR STE 120
SACRAMENTO, CA 95826-3247
Phone number: 916-299-8379
Copy
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