Individual
CHRISTINE ELISE DUSSAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 GREEN ST, ATHOL, MA 01331-2604
(978) 830-4911
Mailing address
163 GREEN ST, ATHOL, MA 01331-2604
(978) 830-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98449
MA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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