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1649348921
JESSE GONZAGA
OAKLAND, CA
NPI
1649348921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 11763)
Enumeration Date
2006-12-02
Last Update Date
2007-07-08
Business Address
Mr. JESSE GONZAGA NP
350 HAWTHORNE AVE
OAKLAND, CA 94609-3108
Phone number: 510-869-8660
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Mailing Address
Mr. JESSE GONZAGA NP
3012 SUMMIT ST FL 2
OAKLAND, CA 94609-3480
Phone number: 510-869-8660
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