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1750096756
DIVYAMOL LUKOSE
WORCESTER, MA
NPI
1750096756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MA RN2336104)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
Mrs. DIVYAMOL LUKOSE CNP
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 774-441-6767
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Mailing Address
Mrs. DIVYAMOL LUKOSE CNP
3 POINT RD UNIT 2
SHREWSBURY, MA 01545-4590
Phone number: 508-250-0060
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