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1477176444
SHAZA BEN KHADRA
PROVIDENCE, RI
NPI
1477176444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: RI LP04980)
Enumeration Date
2020-05-25
Last Update Date
2020-05-25
Business Address
SHAZA BEN KHADRA MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5057
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Mailing Address
SHAZA BEN KHADRA MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5057
Copy
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