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Individual

MARY R DIAS-REGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
531 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
531 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
184698
MA
363LA2200X
Adult Health Nurse Practitioner
37104
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0321621
MA
Enumeration date
03/07/2006
Last updated
03/17/2018
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