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GARY NICHOLAS POBLADOR SARROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
520 N MAIN ST STE 220, SANTA ANA, CA 92701-4623
(714) 543-5609
Mailing address
7855 E BERNER ST, LONG BEACH, CA 90808-4417
(714) 458-6948

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020485
CA

Other

Enumeration date
03/31/2022
Last updated
04/03/2023
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