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1043508112
SUSANNE D WAKERLY
BROCKTON, MA
NPI
1043508112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist Nutrition, Education
(Licence: MA 3059)
Enumeration Date
2011-07-11
Last Update Date
2011-07-11
Business Address
SUSANNE D WAKERLY RD,LDN
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7253
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Mailing Address
SUSANNE D WAKERLY RD,LDN
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7885
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