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1124243761
JAMES G LIEBAU
BOSTON, MA
NPI
1124243761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: MA 250459)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
MR. JAMES G LIEBAU ANP
55 FRUIT ST MGH LON207
BOSTON, MA 02114-2621
Phone number: 617-724-6926
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Mailing Address
MR. JAMES G LIEBAU ANP
55 FRUIT ST MGH LON207
BOSTON, MA 02114-2621
Phone number: 617-724-6926
Copy
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