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1033104674
RENU B PRAKASH
CANTON, MA
NPI
1033104674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 159456)
Enumeration Date
2005-09-20
Last Update Date
2014-04-28
Business Address
-- RENU B PRAKASH MD
60 GRAND ST
CANTON, MA 02021-1836
Phone number: 781-821-0194
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Mailing Address
-- RENU B PRAKASH MD
60 GRAND STREET
CANTON, MA 02021-1836
Phone number: 781-821-0194
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