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Individual

GEORGE M GACHUMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
Mailing address
38 SUNNY HILL DR, WORCESTER, MA 01602-2256

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2273574
MA

Other

Enumeration date
01/28/2018
Last updated
11/08/2018
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