Individual
GAYLE ROGERS COUSINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS FAAA
Contact information
Practice address
318 E MAIN ST, CENTRAL LAKES MEDICAL CLINIC PA, CROSBY, MN 56441-1691
(218) 546-8375
(218) 546-4400
Mailing address
318 E MAIN ST, CROSBY, MN 56441-1691
(218) 546-8375
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5021
MN
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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