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Deborah Clark

Registered Nurse in Brighton, MA. Individual provider (NPI-1).

NPI number1174836498
StatusActive
Last updated in NPPESJul 15, 2010

Details

NPI
1174836498
Entity type
Individual (NPI-1)
Name
Deborah Clark
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2010
Last updated
Jul 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse247333MAYes

Practice location

77 Warren St
Brighton, MA 02135-3601

Phone 617-254-1271 · Fax 617-782-7668

Mailing address

77 Warren St
Brighton, MA 02135-3601

Phone 617-254-1271 · Fax 617-782-7668

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