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Individual

TORRI LYNETTA GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860
(808) 474-4242
Mailing address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001273109
VA
163WG0000X
General Practice Registered Nurse
RN-88730
HI

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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