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1407319163
MICHAEL JOSEPH MOYLAN
PROVIDENCE, RI
NPI
1407319163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN02009)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
MICHAEL JOSEPH MOYLAN APRN
148 W RIVER ST STE 3
PROVIDENCE, RI 02904-2615
Phone number: 401-421-6306
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Mailing Address
MICHAEL JOSEPH MOYLAN APRN
33 STANIFORD ST FL 2
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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