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1467094508
TOLA FERNANDES
PROVIDENCE, RI
NPI
1467094508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI RN55024)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
TOLA FERNANDES
360 DUNCAN DR
PROVIDENCE, RI 02906-7003
Phone number: 401-383-5150
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Mailing Address
TOLA FERNANDES
9 BELLEVUE AVE
LINCOLN, RI 02865-1801
Phone number: 401-219-0060
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