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1063275139
JORDAN SONN GERVASIO
PROVIDENCE, RI
NPI
1063275139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN03928)
Enumeration Date
2024-02-01
Last Update Date
2024-02-01
Business Address
JORDAN SONN GERVASIO
335R PRAIRIE AVE STE 1A
PROVIDENCE, RI 02905-2426
Phone number: 401-444-5685
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Mailing Address
JORDAN SONN GERVASIO
335R PRAIRIE AVE STE 1A
PROVIDENCE, RI 02905-2426
Phone number:
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