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Jacqueline Gavin

Nurse Anesthetist, Certified Registered in Glenolden, PA. Individual provider (NPI-1).

NPI number1760807275
StatusActive
Last updated in NPPESFeb 20, 2014

Details

NPI
1760807275
Entity type
Individual (NPI-1)
Name
Jacqueline Gavin
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2014
Last updated
Feb 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered100723PAYes

Other names

  • Jacqueline Gavin (Professional Name)

Practice location

808 Oakwood Dr
Glenolden, PA 19036-1614

Phone 610-209-4145

Mailing address

808 Oakwood Dr
Glenolden, PA 19036-1614

Phone 610-209-4145

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