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Individual

MR. JEFFREY RICHARD GONNEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
132 ALDEN ROAD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145
Mailing address
132 ALDEN ROAD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233274
MA

Other

Enumeration date
06/02/2011
Last updated
06/02/2011
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