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1205915840
C BRANDON QUALLS
PROVIDENCE, RI
NPI
1205915840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI MD04942)
Enumeration Date
2006-11-03
Last Update Date
2018-06-26
Business Address
C BRANDON QUALLS M.D.
345 BLACKSTONE BLVD WELD BLDG
PROVIDENCE, RI 02906
Phone number: 401-421-0060
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Mailing Address
C BRANDON QUALLS M.D.
345 BLACKSTONE BLVD WELD BLDG
PROVIDENCE, RI 02906
Phone number: 401-421-0060
Copy
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