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1275155574
JACQUELYNN M DIMUCCIO
CRANSTON, RI
NPI
1275155574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA01239)
Enumeration Date
2020-05-11
Last Update Date
2020-10-06
Business Address
JACQUELYNN M DIMUCCIO PA-C
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920-6043
Phone number: 401-259-0340
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Mailing Address
JACQUELYNN M DIMUCCIO PA-C
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920-6043
Phone number: 401-259-0340
Copy
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