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1073044616
MIADETTE PHENG-PHAL
LYNN, MA
NPI
1073044616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MA RN2270203)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- MIADETTE PHENG-PHAL NP-C
269 UNION ST
LYNN, MA 01901-1314
Phone number: 781-581-3900
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Mailing Address
-- MIADETTE PHENG-PHAL NP-C
269 UNION ST
LYNN, MA 01901-1314
Phone number:
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