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1033433073
TARA PHELPS
PROVIDENCE, RI
NPI
1033433073
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Former Name
TARA GAMACHE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: RI RNA36712)
Enumeration Date
2010-03-19
Last Update Date
2013-10-04
Business Address
-- TARA PHELPS CRNA
593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
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Mailing Address
-- TARA PHELPS CRNA
ONE VIRGINIA AVENUE SUITE 201
PROVIDENCE, RI 02905
Phone number: 401-490-0916
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