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1205077633
MARYAM INANLOO
PROVIDENCE, RI
NPI
1205077633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI LP01420)
Enumeration Date
2009-03-15
Last Update Date
2009-03-15
Business Address
-- MARYAM INANLOO M.D.
877 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2179
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Mailing Address
-- MARYAM INANLOO M.D.
903 PROVIDENCE PL APT #204
PROVIDENCE, RI 02903-7000
Phone number: 571-220-0854
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