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1174900278
GINA CREALESE
BROCKTON, MA
NPI
1174900278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN86970)
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
-- GINA CREALESE
63 MAIN ST
BROCKTON, MA 02301-4042
Phone number: 508-559-6696
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Mailing Address
-- GINA CREALESE
63 MAIN ST
BROCKTON, MA 02301-4042
Phone number: 508-559-6696
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