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MS. ODETA HYSENAJ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
111 HUNTOON MEMORIAL HWY, INNOVATIVE PHYSICIAN SERVICES LLC, ROCHDALE, MA 01542
(508) 892-6000
(508) 892-6001
Mailing address
PO BOX 391, INNOVATIVE PHYSICIAN SERVICES LLC, WILBRAHAM, MA 01095-0391
(508) 595-0531
(508) 829-5367

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP1941
MA

Other

Enumeration date
10/14/2005
Last updated
07/08/2007
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