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1154075133
JAVIER JOSE GONZALEZ
LONG BEACH, CA
NPI
1154075133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP27675)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
JAVIER JOSE GONZALEZ
490 W 25TH ST
LONG BEACH, CA 90806-2811
Phone number: 562-980-5106
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Mailing Address
JAVIER JOSE GONZALEZ
490 W 25TH ST
LONG BEACH, CA 90806-2811
Phone number: 562-980-5106
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