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Individual

GUSTAVO H NAVARRETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1415 ST FRANCIS AVE, SHAKOPEE, MN 55379
(952) 993-7750
Mailing address
6465 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55426

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50305
MN

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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