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Individual
JANE GAGNE
Active
Individual
JANE GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053735L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015218350003
—
PA
05
—
0144016
—
OH
01
—
204249
UPMC
PA
01
—
786537
BLUE SHIELD
PA
Enumeration date
05/01/2006
Last updated
04/17/2008
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