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Individual

MARINO MOREIRA DE SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
487 STERLING ST APT A, LANCASTER, MA 01523-0017
(508) 816-8322
Mailing address
487 STERLING ST APT A, LANCASTER, MA 01523-0017
(508) 816-8322

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2295057
MA

Other

Enumeration date
03/01/2021
Last updated
03/01/2021
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