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1104845601
MARY CASTONGUAY
WORCESTER, MA
NPI
1104845601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 241433)
Enumeration Date
2006-07-18
Last Update Date
2010-12-02
Business Address
Ms. MARY CASTONGUAY NP
55 LAKE AVE N DEPARTMENT OF PULMONARY MEDICINE
WORCESTER, MA 01655-0002
Phone number: 508-856-2781
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Mailing Address
Ms. MARY CASTONGUAY NP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number:
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