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1902217979
MICHELLE MARY PRIMO-DEROSA
BOSTON, MA
NPI
1902217979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: MA RN257469)
Enumeration Date
2014-05-13
Last Update Date
2014-05-13
Business Address
MRS. MICHELLE MARY PRIMO-DEROSA
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3342
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Mailing Address
MRS. MICHELLE MARY PRIMO-DEROSA
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3342
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