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1194070706
GEORGE CHARLES GAGNE
FORT MYERS, FL
NPI
1194070706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5198464)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
GEORGE CHARLES GAGNE LPN
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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Mailing Address
GEORGE CHARLES GAGNE LPN
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
Copy
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