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1427286608
JACK ANAVIAN
PROVIDENCE, RI
NPI
1427286608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: RI 14549)
Enumeration Date
2009-06-26
Last Update Date
2021-10-28
Business Address
JACK ANAVIAN M.D.
2 DUDLEY ST SUITE 200
PROVIDENCE, RI 02905-3236
Phone number: 401-444-3581
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Mailing Address
JACK ANAVIAN M.D.
2943 HIGHWAY 77
PANAMA CITY, FL 32405-4411
Phone number: 850-914-7060
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