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1023020880
CAROLYNN MATHISEN
WORCESTER, MA
NPI
1023020880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 115057)
Enumeration Date
2006-08-12
Last Update Date
2009-03-05
Business Address
Ms. CAROLYNN MATHISEN NP
55 LAKE AVE N ICU
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
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Mailing Address
Ms. CAROLYNN MATHISEN NP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number:
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