Individual
ELIZABETH A GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2971 HERRINGTON DR, CASPER, WY 82604-3623
(630) 675-3645
Mailing address
2971 HERRINGTON DR, CASPER, WY 82604-3623
(630) 675-3645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9041
WY
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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