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1689712911
JUDITH LOUISE FORMANEK
LAWRENCE, MA
NPI
1689712911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MA 186429)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. JUDITH LOUISE FORMANEK NP
101 AMESBURY ST SUITE 202
LAWRENCE, MA 01840-1323
Phone number: 978-681-5258
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Mailing Address
Ms. JUDITH LOUISE FORMANEK NP
33 PINE RD
WESTFORD, MA 01886-1421
Phone number: 978-692-0994
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