Provider Information for 1780093112
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Ms. CHRISTINE MARIE GANGNE
Sex: Female
NPI: 1780093112
Last Updated: 2015-12-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780093112 | ||||||||
| Enumeration Date | 2014-08-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8 ATWOOD DR SUITE 301 NORTHAMPTON, MA 01060-4266 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1 ARCH PL FIRST FLOOR GREENFIELD, MA 01301-2457 United States Phone: 413-774-1000 | Fax: | ||||||||
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