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1376762633
JOHN R INSLEE
SOMERVILLE, MA
NPI
1376762633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: MA 1346)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- JOHN R INSLEE Optician
40 HOLLAND ST
SOMERVILLE, MA 02144-2705
Phone number: 617-629-6000
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Mailing Address
-- JOHN R INSLEE Optician
147 MILK ST PROVIDER ENROLLMENT DEPARTMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-421-2508
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