MS. Sunny M Gaut, LMP

NPI #1326223611 in Centralia, Washington

Provider Information

NPI Number: 1326223611
Entity Type: Individual
Name: MS. Sunny M Gaut, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 4, 2008
Last Updated: Jan 4, 2008

Practice Location

Address: 114 W WALNUT ST
City: Centralia
State: Washington
ZIP Code: 98531-4021
Phone: (360) 701-3642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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