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1891341178
EBTESAM GERGES
SACRAMENTO, CA
NPI
1891341178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57267)
Enumeration Date
2019-08-13
Last Update Date
2019-10-10
Business Address
EBTESAM GERGES physician assistant
4411 4TH AVE APT B
SACRAMENTO, CA 95817-3059
Phone number: 848-248-0013
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Mailing Address
EBTESAM GERGES physician assistant
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number:
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