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Individual

MIRELLA LOURES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
98 FLORENCE ST, BROCKTON, MA 02301-6107
(508) 857-6149
Mailing address
98 FLORENCE ST, BROCKTON, MA 02301-6107
(508) 857-6149

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A
MA

Other

Enumeration date
01/28/2014
Last updated
07/21/2022
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