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Individual
JESUS GILDARDO ULLOA
Active
Individual
JESUS GILDARDO ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A123518
CA
2086S0129X
Vascular Surgery Physician
Primary
A123518
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/28/2011
Last updated
07/20/2021
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