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1861681652
TIMOTHY JAMES GAGNON
MADERA, CA
NPI
1861681652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP17765)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- TIMOTHY JAMES GAGNON NP
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-3000
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Mailing Address
-- TIMOTHY JAMES GAGNON NP
9155 MCGINNIS AVE
LAS VEGAS, NV 89148-2627
Phone number: 702-233-5051
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