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1407393010
JOHN JOB
WORCESTER, MA
NPI
1407393010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA RN2271934)
Enumeration Date
2017-01-21
Last Update Date
2018-10-05
Business Address
JOHN JOB
130 LINCOLN ST STE 6
WORCESTER, MA 01605-2430
Phone number: 774-530-6955
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Mailing Address
JOHN JOB
130 LINCOLN ST STE 6
WORCESTER, MA 01605-2430
Phone number: 774-530-6955
Copy
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