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1386646099
IRINA SELIVERSTOV
LYNN, MA
NPI
1386646099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD 218125)
Enumeration Date
2005-08-12
Last Update Date
2007-07-08
Business Address
-- IRINA SELIVERSTOV N.P.
34 STATE ST
LYNN, MA 01901-1505
Phone number: 781-581-6181
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Mailing Address
-- IRINA SELIVERSTOV N.P.
34 STATE ST
LYNN, MA 01901-1505
Phone number: 781-581-6181
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