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Individual

GREGORY JAMES GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4645
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4645

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1801169
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R1801169
MINNESOTA BOARD OF NURSING
MN
Enumeration date
12/28/2011
Last updated
12/28/2011
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