Individual
NICOLE GALLAGHER GOSSELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S2
Contact information
Practice address
13 INDUSTRIAL PARK RD, SACO, ME 04072-1804
(860) 573-3539
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(860) 573-3539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/04/2023
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