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1740698950
JOHANNES GABERTAN VILLANUEVA
SAN MARCOS, CA
NPI
1740698950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95000993)
Enumeration Date
2014-07-31
Last Update Date
2020-02-19
Business Address
JOHANNES GABERTAN VILLANUEVA FNP
602 CONCORD PL
SAN MARCOS, CA 92069-1188
Phone number: 760-715-4083
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Mailing Address
JOHANNES GABERTAN VILLANUEVA FNP
3131 BERGER AVE STE 200
SAN DIEGO, CA 92123-4203
Phone number: 760-715-4083
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