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Mary Gavagan
Licensed Practical Nurse in Flint, Michigan
NPI 1780083709

Mary Gavagan is a Licensed Practical Nurse based in Flint, MI. Mary Gavagan practices in Flint, MI. The NPI Number for Mary Gavagan is 1780083709 and holds a License No. 4703033666 (Michigan).

The current practice location address for Mary Gavagan is 3173 Mac Ave, Flint, MI and can be reached out via phone at 810-397-0050. You can also correspond with Mary Gavagan through the mailing address at 3173 MAC AVE, FLINT, MI - 48506-2123 (mailing address contact number: 810-397-0050).

Location: 3173 Mac Ave, Flint, MI, 48506-2123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780083709
Provider Name
Mary Gavagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3173 Mac Ave, Flint, MI, 48506-2123
Phone Number
810-397-0050
Fax Number
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3173 Mac Ave
City
Flint
State
Michigan
Zip
48506-2123
Phone Number
810-397-0050
Fax Number
person
Provider Business Mailing Address Details
Address
3173 Mac Ave
City
Flint
State
Michigan
Zip
48506-2123
Phone Number
810-397-0050
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703033666 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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