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1306319421
PANHA NGOM
PROVIDENCE, RI
NPI
1306319421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI RN60515)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
PANHA NGOM RN
530 N MAIN ST FL 4
PROVIDENCE, RI 02904-5762
Phone number: 401-582-0110
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Mailing Address
PANHA NGOM RN
164 NATICK AVE
CRANSTON, RI 02921-1106
Phone number: 401-209-7468
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