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1700819356
WAYNE CHARLES GATLIN
DULUTH, MN
NPI
1700819356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 10141mn)
Enumeration Date
2006-07-08
Last Update Date
2007-07-09
Business Address
-- WAYNE CHARLES GATLIN
324 W SUPERIOR ST STE 404
DULUTH, MN 55802-1701
Phone number: 218-727-2772
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Mailing Address
-- WAYNE CHARLES GATLIN
4220 COLORADO ST
DULUTH, MN 55804-1407
Phone number: 218-525-3360
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