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1457198152
MASON JAMES PROVOYEUR
PROVIDENCE, RI
NPI
1457198152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI RN79645)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
MASON JAMES PROVOYEUR RN
528 N MAIN ST
PROVIDENCE, RI 02904-5770
Phone number: 401-276-4020
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Mailing Address
MASON JAMES PROVOYEUR RN
91 MARSHALL CIR
COVENTRY, RI 02816-7529
Phone number: 401-304-7015
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