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1023595725
DAIJSIA MELENA BUBB
PAWTUCKET, RI
NPI
1023595725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN01879)
Enumeration Date
2018-07-25
Last Update Date
2018-09-05
Business Address
DAIJSIA MELENA BUBB
39 EAST AVE
PAWTUCKET, RI 02860
Phone number: 401-729-0080
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Mailing Address
DAIJSIA MELENA BUBB
10 KEENAN RD
BRIGHTON, MA 02135-2128
Phone number: 617-319-4305
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