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Individual

MS. BONNIE ROSE BLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
241 N MAIN ST, LEOMINSTER, MA 01453-2219
(978) 840-5850
Mailing address
673 SOUTH ST, SHREWSBURY, MA 01545-4807
(856) 417-5458

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/01/2008
Last updated
11/02/2020
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