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Individual

MARY LEE AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
181 UNION ST, LYNN, MA 01901-1310
(781) 586-8783
Mailing address
PO BOX 526, LYNN, MA 01901-1314
(781) 586-8783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103301
MA

Other

Enumeration date
05/27/2008
Last updated
05/27/2008
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