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1144208034
ILYA REIKHRUD
PROVIDENCE, RI
NPI
1144208034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: RI RNA00018G)
Enumeration Date
2006-01-03
Last Update Date
2013-10-03
Business Address
-- ILYA REIKHRUD CRNA
593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
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Mailing Address
-- ILYA REIKHRUD CRNA
ONE VIRGINIA AVENUE SUITE 201
PROVIDENCE, RI 02905
Phone number: 401-490-0916
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