Individual
MADISON GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HIGHLAND CLIFF RD, WINDHAM, ME 04062-4018
(207) 615-8845
Mailing address
105 HIGHLAND CLIFF RD, WINDHAM, ME 04062-4018
(207) 615-8845
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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