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Individual

MR. W DOUGLAS MORTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
37 LEONARD ST, APT. 2, NORTH ATTLEBORO, MA 02760-1129
(508) 695-5673
Mailing address
37 LEONARD ST, APT. 2, NORTH ATTLEBORO, MA 02760-1129
(508) 695-5673

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN59498
MA

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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