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1134396229
DIANE BIFULCO
PROVIDENCE, RI
NPI
1134396229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI 19453)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
-- DIANE BIFULCO R.N.
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
-- DIANE BIFULCO R.N.
86 FOX RIDGE DR
CRANSTON, RI 02921-2213
Phone number: 401-944-7473
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