KIM GARY GAUNTT

NEWBERG, OR
NPI1902908171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00197)
Enumeration Date2006-09-01
Last Update Date2014-01-16
Business Address
Mr. KIM GARY GAUNTT D.P.M.
410 VILLA ROAD
NEWBERG, OR 97132-1904
Phone number: 503-538-0466
Mailing Address
Mr. KIM GARY GAUNTT D.P.M.
410 VILLA ROAD
NEWBERG, OR 97132-1904
Phone number: 503-538-0466
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