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Organization
GLENGAYNOR PSYCHOTHERAPY PRACTICE, LLC
Active
Organization
GLENGAYNOR PSYCHOTHERAPY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JOHN GAYNOR ARNP (PSYCHIATRIC NURSE PRACTITIONER)
(603) 863-7142
Entity
Organization
Contact information
Practice address
120 ROUTE 10, SAWYER BROOK PLAZA-SUITE 10, GRANTHAM, NH 03753
(603) 863-3788
(603) 863-2753
Mailing address
PO BOX 272, SAWYER BROOK PLAZA - SUITE 10, GRANTHAM, NH 03753-0272
(603) 863-3788
(603) 863-2753
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
049181-23-08
NH
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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