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Individual

DAVID JOHN GAKSTATTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041485412
IL
163W00000X
Registered Nurse
201704150RN
OR
163W00000X
Registered Nurse
Primary
4704317619
MI
163W00000X
Registered Nurse
56853
NM
163W00000X
Registered Nurse
801072
NY
163W00000X
Registered Nurse
837256
NV
163W00000X
Registered Nurse
95250777
CA
163W00000X
Registered Nurse
R052136
SD
163W00000X
Registered Nurse
RN61054269
WA

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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