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1013947688
DEMIN MA
BROCKTON, MA
NPI
1013947688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 213990)
Enumeration Date
2006-07-03
Last Update Date
2011-05-11
Business Address
-- DEMIN MA M.D.
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7228
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Mailing Address
-- DEMIN MA M.D.
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7009
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