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1548997968
MOEMI GOSSAL
GRASS VALLEY, CA
NPI
1548997968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95021962)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
MOEMI GOSSAL
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945-8524
Phone number: 530-274-9762
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Mailing Address
MOEMI GOSSAL
2 KORET WAY
SAN FRANCISCO, CA 94143-2218
Phone number:
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