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1265080832
MICHAEL ELLIS STERN
PROVIDENCE, RI
NPI
1265080832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: RI APRN02134)
Enumeration Date
2019-08-27
Last Update Date
2021-02-10
Business Address
MICHAEL ELLIS STERN
46 BARNES ST
PROVIDENCE, RI 02906-1502
Phone number: 401-744-6447
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Mailing Address
MICHAEL ELLIS STERN
7260 POST RD STE 103
NORTH KINGSTOWN, RI 02852-3246
Phone number: 401-744-6447
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