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1174284202
IRENE W GAITA
MANTECA, CA
NPI
1174284202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018893)
Enumeration Date
2021-12-30
Last Update Date
2023-07-17
Business Address
IRENE W GAITA FNP
1341 HISTORICAL PLAZA WAY
MANTECA, CA 95336-5064
Phone number: 209-665-4151
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Mailing Address
IRENE W GAITA FNP
1341 HISTORICAL PLAZA WAY
MANTECA, CA 95336-5064
Phone number: 209-665-4151
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