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Individual

KIZZY AKEEYAHA GUYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
191 MEADOW ST, CARVER, MA 02330-1524
(774) 305-2651
Mailing address
191 MEADOW ST, CARVER, MA 02330-1524
(774) 305-2651

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95458
MA

Other

Enumeration date
08/14/2020
Last updated
08/14/2020
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