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Individual

MRS. KATHY LEE GASKILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
180 BOYDEN AVE, MAPLEWOOD, NJ 07040-2480
(973) 378-6073
(973) 378-6435
Mailing address
84 FENWICK RD, AUGUSTA, NJ 07822-2118
(973) 875-8518

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
NR08795300
NJ

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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