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1811558349
GERARD FUERTES NOTARIO
SAN RAFAEL, CA
NPI
1811558349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G48601)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
GERARD FUERTES NOTARIO
74 RAFAEL DR
SAN RAFAEL, CA 94901-2225
Phone number: 773-415-4288
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Mailing Address
GERARD FUERTES NOTARIO
74 RAFAEL DR
SAN RAFAEL, CA 94901-2225
Phone number: 773-415-4288
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