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1164258927
GINA MARIE GONSALVES
SAN DIEGO, CA
NPI
1164258927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306782)
Enumeration Date
2024-09-10
Last Update Date
2024-09-29
Business Address
GINA MARIE GONSALVES
17150 VIA DEL CAMPO STE 200
SAN DIEGO, CA 92127-2137
Phone number: 858-381-5084
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Mailing Address
GINA MARIE GONSALVES
623 W 22ND ST APT 4
SAN PEDRO, CA 90731-5953
Phone number: 310-991-1402
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