Individual
GAYLE M THEBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 TWELFTH STREET, BERLIN, NH 03570
(603) 752-7404
(603) 752-5194
Mailing address
87 WASHINGTON STREET, CONWAY, NH 03818
(603) 447-3347
(603) 447-8893
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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