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1003836016
JOHN CHARLES GUSTAFSON
VENTURA, CA
NPI
1003836016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA G36782)
Enumeration Date
2006-07-20
Last Update Date
2007-07-09
Business Address
-- JOHN CHARLES GUSTAFSON M.D.
2795 LOMA VISTA RD
VENTURA, CA 93003-1544
Phone number: 805-643-8695
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Mailing Address
-- JOHN CHARLES GUSTAFSON M.D.
2795 LOMA VISTA RD
VENTURA, CA 93003-1544
Phone number: 805-643-8695
Copy
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