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Marissa Ann Bragg

Student in an Organized Health Care Education/Training Program in Brockton, MA. Individual provider (NPI-1).

NPI number1164073441
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1164073441
Entity type
Individual (NPI-1)
Name
Marissa Ann Bragg
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2019
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1115 W Chestnut St
Brockton, MA 02301-7501

Phone 508-521-2200

Mailing address

114 West St
East Bridgewater, MA 02333-1808

Phone 781-204-0166

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