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1447002019
MARCUS WEIMAR
PROVIDENCE, RI
NPI
1447002019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA01705)
Enumeration Date
2024-04-04
Last Update Date
2024-07-11
Business Address
MARCUS WEIMAR PA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-9166
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Mailing Address
MARCUS WEIMAR PA
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number:
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