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1174509103
JULIA A GUSTAFSON
SONORA, CA
NPI
1174509103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP5485)
Enumeration Date
2005-12-21
Last Update Date
2016-11-18
Business Address
-- JULIA A GUSTAFSON NP
12811 COVEY CIR
SONORA, CA 95370-5935
Phone number: 209-588-8840
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Mailing Address
-- JULIA A GUSTAFSON NP
13989 STANTON CIR
SONORA, CA 95370-8641
Phone number: 209-588-5584
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