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1124222880
REINA MARIE DASTOUS
BEVERLY, MA
NPI
1124222880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MA 245530)
Enumeration Date
2007-06-14
Last Update Date
2018-02-01
Business Address
MS. REINA MARIE DASTOUS CNM
85 HERRICK ST
BEVERLY, MA 01915-1790
Phone number: 978-927-7880
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Mailing Address
MS. REINA MARIE DASTOUS CNM
LAHEY CLINIC INC., PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD
BURLINGTON, MA 01805
Phone number: 781-744-8085
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