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Individual

MARY MIHOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 277-7320
Mailing address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 277-7320

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2284665
MA

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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