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1770781809
GARY DWAYNE JOSEPHSEN
SPRINGFIELD, OR
NPI
1770781809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A097804)
Enumeration Date
2007-07-10
Last Update Date
2011-09-19
Business Address
Dr. GARY DWAYNE JOSEPHSEN
1460 G STREET
SPRINGFIELD, OR 97477
Phone number: 541-726-4580
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Mailing Address
Dr. GARY DWAYNE JOSEPHSEN
1460 G STREET
SPRINGFIELD, OR 97477
Phone number: 541-726-4580
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