Individual
JENNIFER MARIA GAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6480 TECHNOLOGY AVE STE A, KALAMAZOO, MI 49009-8126
(262) 250-8009
Mailing address
W6810 FALCON AVE, TONY, WI 54563-9713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200314
WI
Other
Enumeration date
03/20/2020
Last updated
03/30/2020
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