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1821155763
JOSE LEONEL GOMEZ
HUNTINGTON PARK, CA
NPI
1821155763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17148)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Mr. JOSE LEONEL GOMEZ PAC
2955 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Phone number: 323-585-0732
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Mailing Address
Mr. JOSE LEONEL GOMEZ PAC
626 PARKMAN AVE
LOS ANGELES, CA 90026
Phone number: 213-989-0425
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