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1215992870
DAVID M BOURASSA
WOONSOCKET, RI
NPI
1215992870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: RI MD09354)
Enumeration Date
2006-04-18
Last Update Date
2018-03-29
Business Address
DAVID M BOURASSA M.D.
450 CLINTON STREET
WOONSOCKET, RI 02895
Phone number: 401-767-4100
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Mailing Address
DAVID M BOURASSA M.D.
171 SERVICE AVENUE
WARWICK, RI 02886
Phone number: 401-767-4100
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