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Individual
MARCO ANTONIO GONZALEZ
Active
Individual
MARCO ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024226
CA
363LF0000X
Family Nurse Practitioner
5015923
NC
Other
Enumeration date
03/13/2022
Last updated
10/24/2023
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