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1154848992
MICHAEL A GAITAN
FRESNO, CA
NPI
1154848992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95112689)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
MICHAEL A GAITAN RN
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-7180
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Mailing Address
MICHAEL A GAITAN RN
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number:
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