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1801041546
LUIS GUILLERMO GONZALEZ
SACRAMENTO, CA
NPI
1801041546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-11-21
Last Update Date
2008-11-21
Business Address
-- LUIS GUILLERMO GONZALEZ
5890 NEWMAN CT
SACRAMENTO, CA 95819-2608
Phone number: 916-452-7481
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Mailing Address
-- LUIS GUILLERMO GONZALEZ
5890 NEWMAN CT
SACRAMENTO, CA 95819-2608
Phone number: 916-452-7481
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