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Individual

TERESA MIRABITO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
(617) 288-1140
Mailing address
33 COMMERCIAL WHARF, BOSTON, MA 02110-3810
(617) 723-3676

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
87971
MA

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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