LANCE GATOR GAULT

CLOVIS, CA
NPI1164615811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A10128)
Enumeration Date2007-08-24
Last Update Date2022-01-19
Business Address
LANCE GATOR GAULT D.O.
2740 HERNDON AVE
CLOVIS, CA 93611-6813
Phone number: 559-299-2608
Mailing Address
LANCE GATOR GAULT D.O.
2740 HERNDON AVE
CLOVIS, CA 93611-6813
Phone number: 559-299-2608
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