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Individual

JOSEPH GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
47 PALOMBA DR, ENFIELD, CT 06082-3868
(860) 253-5020
(860) 253-5030
Mailing address
185 NEVINS AVE, LONGMEADOW, MA 01106-3122
(413) 567-3478

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R51273
CT

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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