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1457482895
STACY LANE HERMAN
BROCKTON, MA
NPI
1457482895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA AP 970)
Enumeration Date
2007-03-08
Last Update Date
2013-05-01
Business Address
-- STACY LANE HERMAN PA
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7193
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Mailing Address
-- STACY LANE HERMAN PA
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7400
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