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Individual

KATHERINE SUSAN GISSONNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT

Contact information

Practice address
200 W HOSPITAL DR, SR 73, WHITERIVER, AZ 85941-0860
(928) 338-3771
(928) 338-3751
Mailing address
PO BOX 860, 200 W HOSPITAL DR --SR 73, WHITERIVER, AZ 85941-0860
(928) 338-3771
(928) 338-3751

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
127380
MN

Other

Enumeration date
10/11/2011
Last updated
10/11/2011
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