Provider Information for 1356889299
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MICHELLE LITTLE
Sex: Female
NPI: 1356889299
Last Updated: 2017-02-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1356889299 | ||||||||
| Enumeration Date | 2017-02-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 497 BELLEVILLE AVE NEW BEFORD, MA 02740 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 497 BELLEVILLE AVE NEW BEDFORD, MA 02746-5432 United States Phone: 774-213-8365 | Fax: | ||||||||
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