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1700867595
THEO CLYDE MANSCHRECK
LEXINGTON, MA
NPI
1700867595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MA 35291)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
DR. THEO CLYDE MANSCHRECK MD
59 OUTLOOK DRIVE
LEXINGTON, MA 02421-9637
Phone number: 781-863-2304
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Mailing Address
DR. THEO CLYDE MANSCHRECK MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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