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1164920849
LARRY GOMEZ
SACRAMENTO, CA
NPI
1164920849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011733)
Enumeration Date
2018-01-26
Last Update Date
2019-07-09
Business Address
LARRY GOMEZ NP
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-3790
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Mailing Address
LARRY GOMEZ NP
240 NATOMA STATION DR APT 259
FOLSOM, CA 95630-7992
Phone number: 832-788-2274
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