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1043261274
MARIANNE BALSAMO
QUINCY, MA
NPI
1043261274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: MA 96414)
Enumeration Date
2006-05-12
Last Update Date
2009-03-04
Business Address
MARIANNE BALSAMO RNCS
1250 HANCOCK ST
QUINCY, MA 02169-4339
Phone number: 617-774-0920
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Mailing Address
MARIANNE BALSAMO RNCS
147 MILK ST PROVIDER ENROLLMENT
BOSTON, MA 02109-4806
Phone number: 617-559-8051
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