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1679350896
ELIDA GONZALEZ
VENTURA, CA
NPI
1679350896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA63747)
Enumeration Date
2023-09-11
Last Update Date
2024-08-19
Business Address
ELIDA GONZALEZ
1500 PALMA DR STE 187
VENTURA, CA 93003-6451
Phone number: 805-222-5803
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Mailing Address
ELIDA GONZALEZ
PO BOX 6542
SANTA MARIA, CA 93456-6542
Phone number: 605-714-7515
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