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1083787816
JON A MUKAND
PROVIDENCE, RI
NPI
1083787816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: RI MD07544)
Enumeration Date
2006-11-17
Last Update Date
2007-09-20
Business Address
DR. JON A MUKAND
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-4409
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Mailing Address
DR. JON A MUKAND
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number: 401-456-3309
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