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1134536055
JACQUELYN ELISE PENNIE
DEDHAM, MA
NPI
1134536055
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Former Name
JACQUELYN ELISE DESJARDINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA5064)
Enumeration Date
2014-07-14
Last Update Date
2021-09-13
Business Address
Ms. JACQUELYN ELISE PENNIE PA
1 LYONS ST
DEDHAM, MA 02026-5599
Phone number: 508-880-0012
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Mailing Address
Ms. JACQUELYN ELISE PENNIE PA
1 LYONS STREET ATRIUS HEALTH, INC
BOSTON, MA 02026
Phone number: 617-657-6495
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