Individual
JEAN C DUCASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 COBURN ST., LYNN, MA 01902
(781) 595-5802
Mailing address
39 COBURN ST, LYNN, MA 01902-1741
(781) 595-5802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN68201
MA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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