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1851374110
PAUL KETRO
REVERE, MA
NPI
1851374110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 77202)
Enumeration Date
2005-11-21
Last Update Date
2007-07-08
Business Address
-- PAUL KETRO MD
425 REVERE ST ELL POND MEDICAL ASSOCIATES INC
REVERE, MA 02151-4543
Phone number: 781-286-1313
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Mailing Address
-- PAUL KETRO MD
425 REVERE ST ELL POND MEDICAL ASSOCIATES INC ATTN JUNE VINARD
REVERE, MA 02151-4543
Phone number: 781-286-1313
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