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1992969299
EDWIN OBUSAN GONZAGA
SAN JOSE, CA
NPI
1992969299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN164609)
Enumeration Date
2008-07-15
Last Update Date
2008-07-15
Business Address
Mr. EDWIN OBUSAN GONZAGA Nurse LVN
1274 CITY VIEW PL
SAN JOSE, CA 95127-4333
Phone number: 408-254-1040
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Mailing Address
Mr. EDWIN OBUSAN GONZAGA Nurse LVN
1488 KOOSER RD
SAN JOSE, CA 95118-3428
Phone number:
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