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1083811376
MARTHA J MANCE
PROVIDENCE, RI
NPI
1083811376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: RI APRN00199)
Enumeration Date
2007-06-29
Last Update Date
2019-02-15
Business Address
MARTHA J MANCE NURSE PRACTITIONER
100 HIGHLAND AVE STE 302
PROVIDENCE, RI 02906-2753
Phone number: 401-633-1100
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Mailing Address
MARTHA J MANCE NURSE PRACTITIONER
1 SHADOWBROOK LN
SOUTH EASTON, MA 02375-1078
Phone number: 508-230-7288
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