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1568047249
CLIVE GOMILLA
HUMBLE, TX
NPI
1568047249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1031969)
Enumeration Date
2021-03-14
Last Update Date
2021-08-25
Business Address
CLIVE GOMILLA NP-C
18980 W MEMORIAL DR #100
HUMBLE, TX 77338
Phone number: 832-644-8930
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Mailing Address
CLIVE GOMILLA NP-C
2123 ENDICOTT LN
SUGAR LAND, TX 77478-6027
Phone number: 832-875-5762
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