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Individual

JACINTA IHEAKANWA OKWESILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
10 WALTER SEYFERT WAY, RANDOLPH, MA 02368-1868

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN190071
MA

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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