Individual
SHARON GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458
Mailing address
PO BOX 295, RICHLAND, MI 49083-0295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703083271
PRACTICAL NURSE LICENSE
MI
Enumeration date
05/18/2007
Last updated
07/08/2007
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