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GWENDOLYN MUND

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1386285559

Individual Registrant:
 GWENDOLYN  MUND 
Gender: F
Sole Proprietor

Location and contact information for practice:
18 HARDY RD  HEBRON, CT 06248-1116 US
Tel: 860-228-0541  Fax: --

Contact information for business:
18 HARDY RD  HEBRON, CT 06248-1116 US
Tel: --  Fax: --

Registration Information:
NPI: 1386285559
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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