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1881173904
CHARLES GUNDERSON
WASILLA, AK
NPI
1881173904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 134715)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
CHARLES GUNDERSON
3051 E PALMER WASILLA HWY
WASILLA, AK 99654-7234
Phone number: 907-376-8590
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Mailing Address
CHARLES GUNDERSON
309 PELHAM BLVD
SAINT PAUL, MN 55104-4936
Phone number:
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