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Individual
MR. GARY WILSON BARSUASKAS
Active
Individual
MR. GARY WILSON BARSUASKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
582770/12889
CA
363LX0106X
Occupational Health Nurse Practitioner
582770/12889
CA
Other
Enumeration date
06/27/2012
Last updated
07/05/2012
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