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1861472987
VIDAL PRIMITERIO
LAWRENCE, MA
NPI
1861472987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA 1813)
Enumeration Date
2006-01-17
Last Update Date
2014-09-10
Business Address
-- VIDAL PRIMITERIO PA
25 MARSTON ST SUITE 105
LAWRENCE, MA 01841-2310
Phone number: 978-258-1057
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Mailing Address
-- VIDAL PRIMITERIO PA
25 MARSTON ST SUITE 105
LAWRENCE, MA 01841-2310
Phone number: 978-258-1057
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