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1033857834
SARAH MARIE LAKE
PROVIDENCE, RI
NPI
1033857834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI LP05586)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
SARAH MARIE LAKE MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8805
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Mailing Address
SARAH MARIE LAKE MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8805
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