SCOTT GERARD GUDMESTAD

CARBONDALE, IL
NPI1811311855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070019732)
Enumeration Date2014-02-11
Last Update Date2014-02-11
Business Address
-- SCOTT GERARD GUDMESTAD DPT
305 W JACKSON ST
CARBONDALE, IL 62901-1474
Phone number: 618-549-0721
Mailing Address
-- SCOTT GERARD GUDMESTAD DPT
305 W JACKSON ST
CARBONDALE, IL 62901-1474
Phone number: 618-549-0721
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