Individual
MARY GORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
133 NORMANDY DR, BRUNSWICK, OH 44212-1544
(330) 273-3911
Mailing address
133 NORMANDY DR, BRUNSWICK, OH 44212-1544
(330) 273-3911
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN. 328474
OH
Other
Enumeration date
11/21/2010
Last updated
11/21/2010
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