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1659984805
GISSELLE ALEXANDRIA BANUELOS
MERCED, CA
NPI
1659984805
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Former Name
GISSELLE ALEXANDRIA AGUILAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 712218)
Enumeration Date
2020-08-27
Last Update Date
2023-01-17
Business Address
GISSELLE ALEXANDRIA BANUELOS
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
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Mailing Address
GISSELLE ALEXANDRIA BANUELOS
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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