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Individual

JIMMY PACOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 BEACON AVE, NORWOOD, MA 02062-2018
(781) 769-8674
Mailing address
450 WASHINGTON ST, DEDHAM, MA 02026-4455
(781) 329-0909

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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