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Individual

KATHLEEN ROBERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP

Contact information

Practice address
3655 NOBEL DR, SAN DIEGO, CA 92122-1003
(888) 435-6500
Mailing address
117 CHURCH ST, WATERTOWN, MA 02472-4726
(401) 855-6233

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NPP37711
RI
363LG0600X
Gerontology Nurse Practitioner
RN2279104
MA

Other

Enumeration date
04/27/2014
Last updated
04/27/2014
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