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Individual
GWEN MCINNES
Active
Individual
GWEN MCINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
35743
CA
225100000X
Physical Therapist
Primary
PT3134
ME
Other
Enumeration date
05/14/2009
Last updated
11/10/2009
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