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1255731865
ANGIE POWERS
BROCKTON, MA
NPI
1255731865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA 2278813)
Enumeration Date
2014-09-02
Last Update Date
2015-07-18
Business Address
-- ANGIE POWERS
940 BELMONT ST
BROCKTON, MA 02301-5596
Phone number: 774-826-3411
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Mailing Address
-- ANGIE POWERS
940 BELMONT STREET
BROCKTON, MA 02301
Phone number: 774-826-3411
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