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1174392765
MARIELLA MEDINA
BOSTON, MA
NPI
1174392765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-12-25
Last Update Date
2023-12-25
Business Address
MARIELLA MEDINA
136 HARRISON AVE RM 510A
BOSTON, MA 02111-1817
Phone number: 617-636-0975
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Mailing Address
MARIELLA MEDINA
116 UNION PARK ST APT 3
BOSTON, MA 02118-2495
Phone number: 240-383-7552
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