Individual
MRS. MARY MARGARET KEOHANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, BC, CNN
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3412
Mailing address
184 CEDAR ST, DEDHAM, MA 02026-3338
(781) 329-9710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
155670
MA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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