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1811745268
SCHADRAC EXANTUS
BROCKTON, MA
NPI
1811745268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN97212)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
Mr. SCHADRAC EXANTUS LPN
940 BELMONT ST
BROCKTON, MA 02301-5596
Phone number: 508-583-4500
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Mailing Address
Mr. SCHADRAC EXANTUS LPN
20 ROCHE BROTHERS WAY UNIT 6-328
NORTH EASTON, MA 02356-1030
Phone number: 508-649-0569
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