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Individual

ANTOINETTE DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
180 PRESCOTT ST, WORCESTER, MA 01605
(508) 792-9999
(508) 798-0667
Mailing address
180 PRESCOTT ST, WORCESTER, MA 01605-1708
(508) 792-9999
(508) 798-0667

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN107895
MA

Other

Enumeration date
03/03/2014
Last updated
05/22/2018
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