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1316671159
MYRA NADEEM
PROVIDENCE, RI
NPI
1316671159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA01482)
Enumeration Date
2022-07-15
Last Update Date
2022-09-27
Business Address
MYRA NADEEM PA-C
593 EDDY ST APCMAIN
PROVIDENCE, RI 02903
Phone number: 401-444-5435
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Mailing Address
MYRA NADEEM PA-C
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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