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Individual

RANDA MOUGARBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 LIBBY ST, BROCKTON, MA 02302-2949
(508) 894-0400
Mailing address
25 LIBBY ST, BROCKTON, MA 02302-2949
(508) 894-0400

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN2272611
MA
363LA2200X
Adult Health Nurse Practitioner
309093
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2272611
MA

Other

Enumeration date
02/03/2018
Last updated
03/17/2021
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