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1295355154
GABRIELLE GOLA LEWIS
SANTA ANA, CA
NPI
1295355154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95013910)
Enumeration Date
2020-04-21
Last Update Date
2020-05-13
Business Address
GABRIELLE GOLA LEWIS
505 N TUSTIN AVE STE 150
SANTA ANA, CA 92705-3735
Phone number: 714-274-7577
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Mailing Address
GABRIELLE GOLA LEWIS
505 N TUSTIN AVE STE 150
SANTA ANA, CA 92705-3735
Phone number:
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