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Individual

JACLYN RAKAUSKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
17 COFFEY ST, DORCHESTER, MA 02122-2305
(617) 282-8335
Mailing address
17 COFFEY ST, DORCHESTER, MA 02122-2305
(617) 282-8335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
263009
MA

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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