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1356691430
KELVIN NAM DOAN
PROVIDENCE, RI
NPI
1356691430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: RI PA00654)
Enumeration Date
2012-09-14
Last Update Date
2020-01-29
Business Address
KELVIN NAM DOAN PA-C
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906-2853
Phone number: 401-793-4545
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Mailing Address
KELVIN NAM DOAN PA-C
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-854-2428
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