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Individual

DR. GEORGE YACOUB AOUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
111 WILLARD ST STE 2A, QUINCY, MA 02169-1274
(617) 471-4491
Mailing address
1860 CENTRE ST, WEST ROXBURY, MA 02132-1902

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3586
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3586
CHIROPRACTIC LICENSE NUMBER
MA
Enumeration date
07/17/2017
Last updated
11/15/2021
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