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1306692934
ALEXA NICOLE TAVARES
PROVIDENCE, RI
NPI
1306692934
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Professional Name
ALEXA NICOLE TAVARES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: RI DCP00721)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
ALEXA NICOLE TAVARES DC
1196 ELMWOOD AVE
PROVIDENCE, RI 02907-3716
Phone number: 401-461-1600
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Mailing Address
ALEXA NICOLE TAVARES DC
820 ELMWOOD AVE PO BOX 72758
PROVIDENCE, RI 02907
Phone number:
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