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1336846161
BRIAN JOANEM GORDILLO
SACRAMENTO, CA
NPI
1336846161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: CA 63698)
Enumeration Date
2023-02-13
Last Update Date
2024-04-24
Business Address
BRIAN JOANEM GORDILLO
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 916-734-2145
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Mailing Address
BRIAN JOANEM GORDILLO
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number:
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