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1700650777
SHAYNA DIEDRICH
WORCESTER, MA
NPI
1700650777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA RN2314195)
Enumeration Date
2023-11-10
Last Update Date
2024-01-26
Business Address
SHAYNA DIEDRICH NP
119 BELMONT ST
WORCESTER, MA 01605-2903
Phone number: 508-334-8515
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Mailing Address
SHAYNA DIEDRICH NP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 978-763-5002
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