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1124167861
ELIZABETH ELLEN KENNEDY
BOSTON, MA
NPI
1124167861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 146061)
Enumeration Date
2007-02-06
Last Update Date
2011-11-23
Business Address
Ms. ELIZABETH ELLEN KENNEDY
75 FENWOOD RD. MASSACHUSETTS MENTAL HEALTH CENTER
BOSTON, MA 02115
Phone number: 617-626-9326
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Mailing Address
Ms. ELIZABETH ELLEN KENNEDY
2 HAMMOND PL
MEDFORD, MA 02155-2232
Phone number: 781-395-8616
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