Individual
MRS. MARY GAUSEPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24910 LAS BRISAS RD STE 105, MURRIETA, CA 92562-4010
(951) 231-1385
(951) 461-9191
Mailing address
24910 LAS BRISAS RD STE 105, MURRIETA, CA 92562-4010
(951) 231-1385
(951) 461-9191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/10/2021
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