Individual
RACHELLE KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 MAIN ST, SOUTHBOROUGH, MA 01772-1437
(413) 230-5629
Mailing address
175 MAIN ST, PO BOX 752, SOUTHBOROUGH, MA 01772
(413) 230-5629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89161
MA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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