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1275530719
JACKIE S FANTES
EAST BOSTON, MA
NPI
1275530719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 261649)
Enumeration Date
2005-06-30
Last Update Date
2024-05-08
Business Address
Dr. JACKIE S FANTES MD
10 GOVE ST
EAST BOSTON, MA 02128-1920
Phone number: 617-569-5800
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Mailing Address
Dr. JACKIE S FANTES MD
10 GOVE ST
EAST BOSTON, MA 02128-1920
Phone number: 617-569-5800
Copy
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