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Individual

BRENDA J EASTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
436 GARDNERS NECK RD, SWANSEA, MA 02777-3105
(800) 788-6084
(508) 674-8730
Mailing address
436 GARDNERS NECK RD, SWANSEA, MA 02777-3105
(800) 788-6084
(508) 674-8730

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ELI0044
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BE34152
LEAD INSPECTOR
RI
Enumeration date
03/13/2007
Last updated
07/08/2007
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