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1346016730
TEDDY MBAZIIRA
RANDOLPH, MA
NPI
1346016730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN59339)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
TEDDY MBAZIIRA
60 RUSS ST
RANDOLPH, MA 02368-1737
Phone number: 832-788-7172
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Mailing Address
TEDDY MBAZIIRA
60 RUSS ST
RANDOLPH, MA 02368-1737
Phone number: 832-788-7172
Copy
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