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1326710427
JENNA COSTA
PROVIDENCE, RI
NPI
1326710427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN02813)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
JENNA COSTA
100 HIGHLAND AVE
PROVIDENCE, RI 02906-2740
Phone number: 401-633-1100
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Mailing Address
JENNA COSTA
180 WATERMAN AVE APT 319
NORTH PROVIDENCE, RI 02911-4105
Phone number:
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