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1134740681
KRISTINA SHAE PETRUCCI
PROVIDENCE, RI
NPI
1134740681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA01251)
Enumeration Date
2020-05-06
Last Update Date
2024-03-23
Business Address
KRISTINA SHAE PETRUCCI PA-C
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-7396
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Mailing Address
KRISTINA SHAE PETRUCCI PA-C
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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