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1215257027
RANDALL INGHAM
PROVIDENCE, RI
NPI
1215257027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI LP01952)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
-- RANDALL INGHAM M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4742
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Mailing Address
-- RANDALL INGHAM M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4742
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