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1780942250
BRIDGET ANN GAUGHAN
MAYWOOD, IL
NPI
1780942250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.009284)
Enumeration Date
2012-05-02
Last Update Date
2021-06-10
Business Address
Ms. BRIDGET ANN GAUGHAN APN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-2458
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Mailing Address
Ms. BRIDGET ANN GAUGHAN APN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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