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1013187616
STACY L. POMINVILLE
CHARLTON, MA
NPI
1013187616
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Former Name
STACY L. BANGMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 266669)
Enumeration Date
2008-03-11
Last Update Date
2011-12-21
Business Address
-- STACY L. POMINVILLE NP
10 N MAIN ST
CHARLTON, MA 01507-1590
Phone number: 508-248-3015
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Mailing Address
-- STACY L. POMINVILLE NP
10 N MAIN ST
CHARLTON, MA 01507-1590
Phone number: 508-248-3015
Copy
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