Individual
CAROLYN ANN GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
360 GREENFIELD RD, DEERFIELD, MA 01342-9744
(413) 774-3857
Mailing address
360 GREENFIELD RD, DEERFIELD, MA 01342-9744
(413) 774-3857
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50507
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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