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Individual

DR. JAMES MICHAEL GAGNON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
179 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-2068
(617) 732-2244
Mailing address
3 NEWELL RD, WAKEFIELD, MA 01880-2613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MA25437
MA

Other

Enumeration date
08/12/2005
Last updated
07/08/2007
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