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Individual
JIMMY PACOMBE
Active
Individual
JIMMY PACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LN85190
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326403
MA
Other
Enumeration date
02/23/2011
Last updated
10/20/2022
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