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1174053888
KATELYN MAE LARSSON
PROVIDENCE, RI
NPI
1174053888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA00977)
Enumeration Date
2017-06-14
Last Update Date
2019-07-08
Business Address
Ms. KATELYN MAE LARSSON PA-C
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-4080
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Mailing Address
Ms. KATELYN MAE LARSSON PA-C
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number:
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