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1902300254
JOSE GONZALEZ
SAN DIEGO, CA
NPI
1902300254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
JOSE GONZALEZ
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 817-718-2992
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Mailing Address
JOSE GONZALEZ
1252 PERSHING RD
CHULA VISTA, CA 91913-2514
Phone number: 817-718-2992
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