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Individual

DENIS PAUL DESSUREAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 882-3000
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1565
NH

Other

Enumeration date
12/17/2018
Last updated
03/02/2020
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