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1093864787
LEE ANN TATA
WALTHAM, MA
NPI
1093864787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MA 200889)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Ms. LEE ANN TATA NP
950 WINTER ST
WALTHAM, MA 02451-1424
Phone number: 781-472-8517
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Mailing Address
Ms. LEE ANN TATA NP
710 ELM ST
EAST BRIDGEWATER, MA 02333-1006
Phone number:
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