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1568480010
GORDON VITTONE
WAUSAU, WI
NPI
1568480010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 4565830)
Enumeration Date
2006-07-17
Last Update Date
2007-07-09
Business Address
-- GORDON VITTONE CRNA
425 PINE RIDGE BLVD SUITE 211
WAUSAU, WI 54401-4123
Phone number: 715-845-5505
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Mailing Address
-- GORDON VITTONE CRNA
425 PINE RIDGE BLVD SUITE 211
WAUSAU, WI 54401-4123
Phone number: 715-845-5505
Copy
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