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1528708948
GRACE ROSE FANIKOS
BOSTON, MA
NPI
1528708948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
GRACE ROSE FANIKOS
179 LONGWOOD AVE
BOSTON, MA 02115-5804
Phone number: 617-732-2850
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Mailing Address
GRACE ROSE FANIKOS
8 OAK ST
WAKEFIELD, MA 01880-3935
Phone number: 781-548-0608
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