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Individual

WEDLINE DASCELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
21 NORRBACK AVE, WORCESTER, MA 01606-1008
(617) 401-1513

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
100257
MA

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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