Individual
MRS. BARBARA A GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11025 E CARPENTER RD, DAVISON, MI 48423-9303
(810) 348-7365
Mailing address
11025 E CARPENTER RD, DAVISON, MI 48423-9303
(810) 348-7365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703059186
MI
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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