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1316928427
MICHELLE A MOYNIHAN
DARTMOUTH, MA
NPI
1316928427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MA 187390)
Enumeration Date
2005-11-07
Last Update Date
2012-12-21
Business Address
-- MICHELLE A MOYNIHAN
285 OLD WESTPORT RD
DARTMOUTH, MA 02747-2356
Phone number: 508-999-8982
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Mailing Address
-- MICHELLE A MOYNIHAN
77 WARREN STREET, 3RD FL PROVIDER ENROLLMENT DEPT
BRIGHTON, MA 02135
Phone number: 617-562-5359
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