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Individual

MRS. CAROLE LYNN GATHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11 LILAC LN, SUITE 108, COTO DE CAZA, CA 92679-4951
(949) 292-6266
Mailing address
11 LILAC LN, COTO DE CAZA, CA 92679-4951
(949) 292-6266

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041-170329
IL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041170329
IL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
799856
CA

Other

Enumeration date
01/07/2008
Last updated
05/05/2014
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