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1720095409
PHILLIP J GONZALES
WOODBURY, MN
NPI
1720095409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 30345)
Enumeration Date
2006-08-02
Last Update Date
2019-04-22
Business Address
PHILLIP J GONZALES MD
8325 CITY CENTRE DR
WOODBURY, MN 55125-3605
Phone number: 651-731-0859
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Mailing Address
PHILLIP J GONZALES MD
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2092
Phone number: 651-772-1572
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