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Individual

BREANNA CATHERINE MARQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
51 STATE RD, DARTMOUTH, MA 02747-3319
(508) 500-6900
Mailing address
6 ARROW LN, ACUSHNET, MA 02743-1708
(508) 971-4577

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5406
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110164295A
MA
Enumeration date
07/01/2020
Last updated
09/21/2022
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