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Individual

DR. NICOLE MARIE RABIDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
64 WINTHROP ST, TAUNTON, MA 02780-4242
(508) 823-5536
(508) 880-3798
Mailing address
64 WINTHROP ST, TAUNTON, MA 02780-4242
(508) 823-5536
(508) 880-3798

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4709
MA
152W00000X
Optometrist
ODTA00527
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0720429
MA
Enumeration date
07/23/2007
Last updated
09/21/2022
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