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1356025159
IAN CISSEL
LOWELL, MA
NPI
1356025159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
IAN CISSEL
295 VARNUM AVE
LOWELL, MA 01854-2134
Phone number: 978-937-6000
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Mailing Address
IAN CISSEL
200 WOODVIEW WAY APT 2306
ANDOVER, MA 01810-4592
Phone number:
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