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1538640776
ETHAN GABRIEL CERMENO
SACRAMENTO, CA
NPI
1538640776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-08-26
Last Update Date
2020-03-25
Business Address
DR. ETHAN GABRIEL CERMENO MD
4150 V ST # 1100
SACRAMENTO, CA 95817-1460
Phone number: 818-438-8107
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Mailing Address
DR. ETHAN GABRIEL CERMENO MD
4150 V ST # 1100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-2737
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