Individual
MAURA GILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 VERMONT ST, HOLYOKE, MA 01040-1643
(413) 000-0000
Mailing address
79 VERMONT ST, HOLYOKE, MA 01040-1643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2014
Last updated
05/28/2015
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