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Organization

PIC A NIT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MONICA HENRY (PRESIDENT/OWNER)
(617) 291-3825
Entity
Organization

Contact information

Practice address
111 WORCESTER STREET, NORTH GRAFTON, MA 01536
(617) 291-3825
Mailing address
PO BOX 273, SOUTH GRAFTON, MA 01560-0273
(617) 291-3825

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/15/2019
Last updated
02/15/2019
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