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1639652878
SHANISE MARGOT PEREZ
SOUTHBRIDGE, MA
NPI
1639652878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA RN2293487)
Enumeration Date
2018-09-13
Last Update Date
2019-09-05
Business Address
SHANISE MARGOT PEREZ
29 PINE ST
SOUTHBRIDGE, MA 01550-1823
Phone number: 508-765-9167
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Mailing Address
SHANISE MARGOT PEREZ
29 PINE ST
SOUTHBRIDGE, MA 01550-1823
Phone number: 508-765-9167
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