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1083301147
FANTASIA GOULD
SPRINGFIELD, MA
NPI
1083301147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA 101857)
Enumeration Date
2023-04-19
Last Update Date
2024-07-03
Business Address
FANTASIA GOULD LPN
511 E COLUMBUS AVE
SPRINGFIELD, MA 01105-2506
Phone number: 413-266-4068
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Mailing Address
FANTASIA GOULD LPN
511 E COLUMBUS AVE
SPRINGFIELD, MA 01105-2506
Phone number: 413-733-3488
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