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Individual

JOAN L CHANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11 FOWLER ST, DANVERS, MA 01923-3035
(978) 774-1401
Mailing address
11 FOWLER ST, DANVERS, MA 01923-3035
(978) 774-1401

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
181865
MA

Other

Enumeration date
04/29/2009
Last updated
04/29/2009
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