GARY MICHAEL RAYMOND

SAN LUIS OBISPO, CA
NPI1134171390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  320850)
Enumeration Date2006-05-16
Last Update Date2011-10-12
Business Address
-- GARY MICHAEL RAYMOND FNP
47 SANTA ROSA ST 47 SANTA ROSA
SAN LUIS OBISPO, CA 93405-5816
Phone number: 805-542-9596
Mailing Address
-- GARY MICHAEL RAYMOND FNP
2641 KOA AVE
MORRO BAY, CA 93442-1709
Phone number:
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