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Individual

JENNIFER LEE BOURASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
23 STRATHMORE RD, DARTMOUTH, MA 02747-3113
(508) 264-7721
Mailing address
23 STRATHMORE RD, DARTMOUTH, MA 02747-3113
(508) 264-7721

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97646
MA

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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