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1144917626
ODECIR ELISHA GOCKING
HEMET, CA
NPI
1144917626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 95023201)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
ODECIR ELISHA GOCKING NP
43419 ALTO DR
HEMET, CA 92544-6638
Phone number: 386-503-2216
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Mailing Address
ODECIR ELISHA GOCKING NP
43419 ALTO DR
HEMET, CA 92544-6638
Phone number: 386-503-2216
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