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Individual

MRS. PATRICIA S BAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
128 MAIN ST, SUITE 2, STURBRIDGE, MA 01566-1556
(508) 347-7585
(508) 347-7538
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
R38709
CT
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN145129
MA

Other

Enumeration date
03/27/2007
Last updated
07/29/2015
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