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Individual

MR. GARY CHARLES COUVEAU I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4436
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227900000X
RESPIRATORY THERAPIST REGISTERED
CA
Enumeration date
10/18/2010
Last updated
10/18/2010
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