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PENNY GAGNON

>> Specialist >> Other Service Providers

Registrant NPI Number: 1558677815

Individual Registrant:
 PENNY  GAGNON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
180 DEPOT RD  ELIOT, ME 03903-1278 US
Tel: 207-439-9197  Fax: --

Contact information for business:
206 KNIGHTS POND RD  SOUTH BERWICK, ME 03908-1933 US
Tel: --  Fax: --

Registration Information:
NPI: 1558677815
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS ME - Page 1

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