Individual
MR. CHARLES SONIAT DUFOSSAT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
Mailing address
PO BOX 2443, PAGOSA SPRINGS, CO 81147-2433
(970) 903-5045
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
020550
CO
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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