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1104608504
SHANIQUE SOUFFRANT
BOSTON, MA
NPI
1104608504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11029239)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
SHANIQUE SOUFFRANT ARNP-CNP, FNP-BC
300 THE FENWAY
BOSTON, MA 02115-5820
Phone number: 617-521-2000
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Mailing Address
SHANIQUE SOUFFRANT ARNP-CNP, FNP-BC
300 THE FENWAY
BOSTON, MA 02115-5820
Phone number:
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