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1356114300
BLUE HERON PRIMARY CARE, PLLC
PEMBROKE, MA
NPI
1356114300
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Entity Type
Organization
Authorized Contact
MICHELE A MASSE
Owner
857-939-0187
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-11-01
Last Update Date
2024-09-20
Business Address
BLUE HERON PRIMARY CARE, PLLC
28 RIVERSIDE DR STE 150
PEMBROKE, MA 02359-4904
Phone number: 857-939-0187
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Mailing Address
BLUE HERON PRIMARY CARE, PLLC
28 RIVERSIDE CIR STE 150
MARSHFIELD, MA 02050-5816
Phone number: 857-939-0187
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