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Individual

MRS. EILEEN MARY GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
717 N BEERS ST, #1C, HOLMDEL, NJ 07733-1524
(732) 888-0010
Mailing address
34 DORANNE LN, MIDDLETOWN, NJ 07748-3176
(732) 275-0989

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ003537000
NJ

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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