CHARLES GORDON

SAINT CLOUD, MN
NPI1134642655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R2255361)
Enumeration Date2017-07-18
Last Update Date2022-07-21
Business Address
CHARLES GORDON
3701 12TH ST N STE 202
SAINT CLOUD, MN 56303-2253
Phone number: 320-258-3090
Mailing Address
CHARLES GORDON
3701 12TH ST N STE 202
SAINT CLOUD, MN 56303-2253
Phone number: 320-258-3090
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