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Individual
JESSICA GORGOGLIONE
Active
Individual
JESSICA GORGOGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11540806-4405
UT
363LW0102X
Women's Health Nurse Practitioner
209.017090
IL
363LW0102X
Women's Health Nurse Practitioner
819263
NV
Other
Enumeration date
01/24/2018
Last updated
09/06/2022
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