ELIZARDO DOMINGO GUMABON

TOMS RIVER, NJ
NPI1639265747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NJ  26NE01041700)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Mr. ELIZARDO DOMINGO GUMABON nurse
1098 WHITE OAK CT
TOMS RIVER, NJ 08753-5332
Phone number: 732-473-1569
Mailing Address
Mr. ELIZARDO DOMINGO GUMABON nurse
1098 WHITE OAK CT
TOMS RIVER, NJ 08753-5332
Phone number: 732-473-1569
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