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Individual

GLENDA GAGANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
103 BEACON ST, MIDDLETOWN, RI 02842-4805
(401) 619-0647
Mailing address
103 BEACON ST, MIDDLETOWN, RI 02842-4805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00183
RI
363L00000X
Nurse Practitioner
Primary
95001185
CA

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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