Individual
AMANDA L GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GAFFNEY RD STOP 7440, FT WAINWRIGHT, AK 99703-5007
(907) 361-5301
(907) 361-4847
Mailing address
1060 GAFFNEY RD STOP 7440, FT WAINWRIGHT, AK 99703-5007
(907) 361-5301
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
110099
KS
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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