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Individual
ROBERT L. GAGNON
Active
Individual
ROBERT L. GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G30363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G303630
BLUE SHIELD OF CA
CA
05
—
00G303630
—
CA
Enumeration date
07/25/2006
Last updated
09/23/2009
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