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Individual

TERESA MAYNE KANEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
148 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(508) 746-5900
(508) 747-2290
Mailing address
148 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(508) 746-5900
(508) 747-2290

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4062
MA

Other

Enumeration date
09/08/2010
Last updated
01/18/2021
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