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1497519201
JORGE ENRIQUE JR GOMEZ
FRESNO, CA
NPI
1497519201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95272715)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
JORGE ENRIQUE JR GOMEZ
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
JORGE ENRIQUE JR GOMEZ
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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