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Individual

MARIE C VICTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 HOSPITAL DR STE 101, HOLYOKE, MA 01040-6616
(413) 536-8924
Mailing address
2823 SW 82ND AVE, MIRAMAR, FL 33025-7404
(954) 638-0324

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9267015
FL
363LF0000X
Family Nurse Practitioner
Primary
RN2337712
MA

Other

Enumeration date
05/21/2018
Last updated
04/16/2020
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