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Individual

MS. KATHRYN J. WRYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
89 S MAST ST, GOFFSTOWN, NH 03045-6102
(603) 537-1300
(603) 505-8422
Mailing address
6 BUTTRICK RD STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0489
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222594672
GREATWEST HEALTHCARE
NH
05
30334857
NH
Enumeration date
06/16/2005
Last updated
11/13/2023
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