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Individual

MS. KASEY LYNNE DIETZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
907 SUMNER ST STE M-102, STOUGHTON, MA 02072-3374
(781) 344-3791
(781) 341-3614
Mailing address
26 BRISAN WAY, PEMBROKE, MA 02359-2733
(774) 454-7748

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023004608
MA

Other

Enumeration date
05/04/2023
Last updated
05/17/2023
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