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1952774366
CHARLES RUSSEL GOLD
SALT LAKE CITY, UT
NPI
1952774366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174M00000X Veterinarian
(Licence: UT 115141-2801)
Enumeration Date
2015-11-06
Last Update Date
2015-11-06
Business Address
DR. CHARLES RUSSEL GOLD D.V.M.
3816 S HIGHLAND DR
SALT LAKE CITY, UT 84106-3216
Phone number: 801-277-2649
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Mailing Address
DR. CHARLES RUSSEL GOLD D.V.M.
3816 S HIGHLAND DR
SALT LAKE CITY, UT 84106-3216
Phone number: 801-277-2649
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