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Individual

MS. DEBORAH A VAN ETTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,APRN,BC,CS

Contact information

Practice address
90 CONCORD AVE, BELMONT, MA 02478-4046
(617) 251-6896
Mailing address
1 LORING RD, LEXINGTON, MA 02421-6907
(781) 861-1752

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
155485
MA

Other

Enumeration date
06/07/2006
Last updated
08/25/2011
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