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Organization

IASIS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS VIRGINIA NDORO (PROPRIETOR)
(671) 454-4186
Entity
Organization

Contact information

Practice address
50 LEXINGTON ST # 2, FRAMINGHAM, MA 01702-8219
(617) 454-4186
Mailing address
803 WINDSOR DR, FRAMINGHAM, MA 01701-5007
(774) 414-4186

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
RN27515
MA

Other

Enumeration date
07/28/2014
Last updated
08/31/2020
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