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Individual

DENISE BEATRICE BORDEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MT

Contact information

Practice address
16 PICKETT LN, GREENFIELD, MA 01301-9513
(413) 768-8123
Mailing address
21 MOHAWK TR., PMB 261, GREENFIELD, MA 01301
(413) 768-8123

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
187658
MA
225700000X
Massage Therapist
Primary
2789
MA

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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