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Individual

INDIRA OSMANCEVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1324 BEACON ST, BROOKLINE, MA 02446-3201
(617) 566-3086
Mailing address
114 PLEASANT ST, WINTHROP, MA 02152-2021
(617) 846-2758

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25403
MA

Other

Enumeration date
09/22/2011
Last updated
09/22/2011
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