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1164562658
DOREEN GAGNON
NEWARK, NJ
NPI
1164562658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00076000)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Mrs. DOREEN GAGNON APRN, BC
297 16TH AVE
NEWARK, NJ 07103-1104
Phone number: 973-374-3020
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Mailing Address
Mrs. DOREEN GAGNON APRN, BC
42 HIGHLAND AVE
NUTLEY, NJ 07110-2021
Phone number: 973-667-4252
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