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GAIRLANDE AUDIESSE-VITAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-9220
(781) 995-3586
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
258891
MA

Other

Enumeration date
02/20/2013
Last updated
09/21/2023
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