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1629644489
AUSTIN GOTTSCHALK
CANNON AFB, NM
NPI
1629644489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX Unknown)
Enumeration Date
2021-06-02
Last Update Date
2023-12-04
Business Address
AUSTIN GOTTSCHALK DO
224 W D. L. INGRAM AVENUE BLDG. 1408
CANNON AFB, NM 88103
Phone number: 575-904-6942
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Mailing Address
AUSTIN GOTTSCHALK DO
1962 E SUNSET DR
LAYTON, UT 84040-5711
Phone number: 801-671-6294
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