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Individual

KAILEY EMMA DEMOURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 MAIN ST, LAKEVILLE, MA 02347-1606
(508) 946-0202
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2318157
MA

Other

Enumeration date
12/14/2023
Last updated
09/08/2024
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