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1053530782
SIMONE THAVASEELAN
PROVIDENCE, RI
NPI
1053530782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: RI MD13391)
Enumeration Date
2007-04-24
Last Update Date
2011-10-14
Business Address
-- SIMONE THAVASEELAN
2 DUDLEY ST STE 185
PROVIDENCE, RI 02905-3247
Phone number: 401-444-5795
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Mailing Address
-- SIMONE THAVASEELAN
195 COLLYER ST STE 201
PROVIDENCE, RI 02904-1869
Phone number: 401-272-7799
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