Individual
KATLYN GORGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112-6027
(580) 481-7082
Mailing address
1425 2ND ST NE, ARAB, AL 35016-5411
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
12/11/2024
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