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1962080754
ISTA ARIANE EGBETO
BROCKTON, MA
NPI
1962080754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
ISTA ARIANE EGBETO MD
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 240-273-6219
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Mailing Address
ISTA ARIANE EGBETO MD
575 BROAD ST UNIT 310
WEYMOUTH, MA 02189-1826
Phone number: 240-273-6219
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