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1275065047
STEPHANIE ELLEN BOOSAHDA
SOUTH YARMOUTH, MA
NPI
1275065047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LPN57523)
Enumeration Date
2017-03-31
Last Update Date
2017-03-31
Business Address
Ms. STEPHANIE ELLEN BOOSAHDA LPN
654 WILLOW ST BASS RIVER
SOUTH YARMOUTH, MA 02664-5636
Phone number: 508-360-6227
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Mailing Address
Ms. STEPHANIE ELLEN BOOSAHDA LPN
654 WILLOW ST BASS RIVER
SOUTH YARMOUTH, MA 02664-5636
Phone number: 508-360-6227
Copy
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