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Individual

CHARLES JOHN DOUCET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 142298-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
787489800
MN
Enumeration date
07/07/2006
Last updated
04/28/2008
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