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1679920946
ROY GONZALEZ
SIOUX CITY, IA
NPI
1679920946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: NE 1463)
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
-- ROY GONZALEZ PTA
40 RIDGEVIEW RD
SIOUX CITY, IA 51104-4052
Phone number: 712-204-4297
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Mailing Address
-- ROY GONZALEZ PTA
40 RIDGEVIEW RD
SIOUX CITY, IA 51104-4052
Phone number: 712-204-4297
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