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Individual

AMANDA GUNGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
KENNEDY-DONOVAN CENTER, 19 HAWTHORN ST, NEW BEDFORD, MA 02740
(508) 997-1570
Mailing address
35 ROSEBROOK PL UNIT 1412, WAREHAM, MA 02571-1563

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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