PAUL RUSSELL GUSTAVSON

EUREKA, CA
NPI1295754752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17059)
Enumeration Date2006-07-18
Last Update Date2021-11-02
Business Address
PAUL RUSSELL GUSTAVSON PA-C
2826 HARRIS ST
EUREKA, CA 95503-4809
Phone number: 707-443-8066
Mailing Address
PAUL RUSSELL GUSTAVSON PA-C
2826 HARRIS ST
EUREKA, CA 95503-4809
Phone number: 707-443-8066
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