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1174910269
KATIE SERRA
BOSTON, MA
NPI
1174910269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA5358)
Enumeration Date
2015-04-16
Last Update Date
2015-12-04
Business Address
-- KATIE SERRA PA
55 FRUIT ST WHITE 1
BOSTON, MA 02114-2621
Phone number: 617-724-4100
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Mailing Address
-- KATIE SERRA PA
111 ARLINGTON AVE
PROVIDENCE, RI 02906-3211
Phone number: 401-419-4764
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