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1205926508
MAURA ANN SULLIVAN-MOORE
JAMAICA PLAIN, MA
NPI
1205926508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 123432)
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
-- MAURA ANN SULLIVAN-MOORE ANP
150 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4817
Phone number: 617-232-9500
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Mailing Address
-- MAURA ANN SULLIVAN-MOORE ANP
175 HIGH ST
DUXBURY, MA 02332-3428
Phone number: 781-585-2076
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