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1245957349
ISABELLA RAVANESI
BOSTON, MA
NPI
1245957349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
ISABELLA RAVANESI
409 W BROADWAY
BOSTON, MA 02127-2245
Phone number: 617-269-7500
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Mailing Address
ISABELLA RAVANESI
2 CHISHOLM LN
BOSTON, MA 02131-4533
Phone number: 413-351-5598
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