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1205813615
ALFRED HENRY LIDDLE
LINCOLN, RI
NPI
1205813615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA00023)
Enumeration Date
2005-12-28
Last Update Date
2007-10-09
Business Address
-- ALFRED HENRY LIDDLE PA
2 WAKE ROBIN RD
LINCOLN, RI 02865-4241
Phone number: 401-334-3105
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Mailing Address
-- ALFRED HENRY LIDDLE PA
2 WAKE ROBIN RD
LINCOLN, RI 02865-4241
Phone number: 401-334-3105
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