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MR. CHARLES CHRISTOPHER GOSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
6055 N MAIN STREET RD, WEBB CITY, MO 64870-7219
(417) 206-0900
(417) 206-0907
Mailing address
6055 N MAIN STREET RD, WEBB CITY, MO 64870-7219
(417) 206-0900
(417) 206-0907

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014008349
MO
363LF0000X
Family Nurse Practitioner
52-75482-121
KS

Other

Enumeration date
09/02/2011
Last updated
10/03/2015
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