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Individual

KATHLEEN MARIE TELEPCIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5751
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5751

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2272338
MA

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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