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Individual
MS. LINDA B CLEARY
Active
Individual
MS. LINDA B CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA587
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
DOC FIRST
MA
01
—
93477
FALLON
MA
01
—
AP2545
MEDICARE
MA
Enumeration date
11/08/2005
Last updated
10/13/2015
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