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1740214832
ALICIA KEENAN HALL
BOSTON, MA
NPI
1740214832
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Former Name
ALICIA MARIE KEENAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 252099)
Enumeration Date
2006-07-11
Last Update Date
2015-09-04
Business Address
-- ALICIA KEENAN HALL
1200 CENTRE ST
BOSTON, MA 02131-1011
Phone number: 617-363-8293
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Mailing Address
-- ALICIA KEENAN HALL
819 WORCESTER ST 3
SPRINGFIELD, MA 01151-1056
Phone number: 413-543-6820
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