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1336563287
STACEY ELIZABETH CARREIRA
PROVIDENCE, RI
NPI
1336563287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MA 3544)
Enumeration Date
2014-02-13
Last Update Date
2014-02-13
Business Address
STACEY ELIZABETH CARREIRA RD, LDN
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
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Mailing Address
STACEY ELIZABETH CARREIRA RD, LDN
30 TORI LEIGH LN
REHOBOTH, MA 02769-1545
Phone number: 401-368-7767
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