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Individual

MRS. DIANA RANDOLPH-MERCHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 267-4444
Mailing address
126 HIGHLAND AVE, SALEM, MA 01970-2724
(978) 328-8634

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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