COREY GERALD GUSTAFSON

FALLBROOK, CA
NPI1912982620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  20A13551)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: VA  0102201624)
Enumeration Date2005-12-14
Last Update Date2015-09-18
Business Address
Dr. COREY GERALD GUSTAFSON D.O.
4067 LADERA VISTA RD
FALLBROOK, CA 92028-9433
Phone number: 757-513-5594
Mailing Address
Dr. COREY GERALD GUSTAFSON D.O.
4067 LADERA VISTA RD
FALLBROOK, CA 92028-9433
Phone number: 757-513-5594
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