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1225486780
ALISA ANDERSON
PROVIDENCE, RI
NPI
1225486780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: RI LP03645)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
Dr. ALISA ANDERSON M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4247
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Mailing Address
Dr. ALISA ANDERSON M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4247
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