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Individual

MR. ELISHA GUMBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
37657 BRUTUS WAY, BEAUMONT, CA 92223-8056
(909) 800-4885
Mailing address
37657 BRUTUS WAY, BEAUMONT, CA 92223-8056
(909) 800-4885

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
768627
CA

Other

Enumeration date
10/11/2018
Last updated
10/14/2018
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