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1164525200
CHARLES JOSEPH GOSSELIN
SALT LAKE CITY, UT
NPI
1164525200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME R 035332)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Mr. CHARLES JOSEPH GOSSELIN
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-584-1240
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Mailing Address
Mr. CHARLES JOSEPH GOSSELIN
7952 OAKLEDGE RD
SALT LAKE CITY, UT 84121-5823
Phone number: 801-947-9032
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