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1376853192
MARISA GONZALEZ
LOS ANGELES, CA
NPI
1376853192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20634)
Enumeration Date
2010-10-14
Last Update Date
2015-06-17
Business Address
Ms. MARISA GONZALEZ Physician Assistant
535 N ALAMEDA ST
LOS ANGELES, CA 90012-3405
Phone number: 626-321-5311
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Mailing Address
Ms. MARISA GONZALEZ Physician Assistant
PO BOX 3021
MONTEBELLO, CA 90640-8321
Phone number: 626-321-5311
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