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1467963835
INNOCENT GOUETH
LONG BEACH, CA
NPI
1467963835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CA 242572)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
INNOCENT GOUETH
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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Mailing Address
INNOCENT GOUETH
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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