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Individual
NICOLE GAVIN
Active
Individual
NICOLE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D85949
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
067620
CT
Other
Enumeration date
05/20/2014
Last updated
11/07/2022
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