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1609882380
LORAE D. PHELAN
BEDFORD, MA
NPI
1609882380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA 163625)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- LORAE D. PHELAN rn,ms,cs
110 GREAT RD SUITE 205
BEDFORD, MA 01730-2729
Phone number: 617-529-7772
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Mailing Address
-- LORAE D. PHELAN rn,ms,cs
100 WOODLAND RD
MALDEN, MA 02148-1135
Phone number: 781-388-2394
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