Provider Information for 1265818751
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KAREN GRAVEL
Sex: Female
NPI: 1265818751
Last Updated: 2024-04-29
Certification Date: 2024-04-29
Certification Date: 2024-04-29
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265818751 | ||||||||||||
| Enumeration Date | 2015-08-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 227 UNION ST STE 408 NEW BEDFORD, MA 02740-5946 United States Phone: 508-202-0741 | Fax: | ||||||||||||
| Primary Practice Address | 227 UNION ST STE 408 NEW BEDFORD, MA 02740-5946 United States Phone: 508-202-0741 | Fax: | ||||||||||||
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