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Individual

LOIC RICKEL ASSOBMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
21 DWIGHT RD, LONGMEADOW, MA 01106-1765
(413) 795-4555
(413) 794-9448
Mailing address
235 CHESTNUT ST # 12, SPRINGFIELD, MA 01103-1100
(413) 438-5737
(413) 451-1211

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2310024
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110126197A
MA
Enumeration date
05/20/2017
Last updated
04/17/2025
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