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Individual

EMMANUEL KAMONOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 740-8035
Mailing address
36 JULIETTE ST, DORCHESTER, MA 02122-1706

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2289949
MA

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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