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Organization

BOSTON PUBLIC SCHOOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANNETTE BRUNSON (SCHOOL NURSE)
(617) 635-8072
Entity
Organization

Contact information

Practice address
20 ELDERWOOD DR, STOUGHTON, MA 02072-4983
(617) 635-8072
Mailing address
20 ELDERWOOD DR, STOUGHTON, MA 02072-4983

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
117202
MA
3140N1450X
Pediatric Skilled Nursing Facility
117202
MA

Other

Enumeration date
06/30/2014
Last updated
06/30/2014
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