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Individual

MRS. DENISE GRACE BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
881 COMMONWEALTH AVE, BOSTON, MA 02215
(617) 353-3575
(617) 353-3557
Mailing address
8 CASS AVE, DEDHAM, MA 02026
(781) 326-0965
(617) 353-3557

Taxonomy

Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
77026
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77026
STATE LISC.
MA
Enumeration date
05/01/2007
Last updated
07/08/2007
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