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1497072631
TINA MARIE ELLIS
PROVIDENCE, RI
NPI
1497072631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: RI MD14603)
Enumeration Date
2010-04-28
Last Update Date
2014-08-05
Business Address
-- TINA MARIE ELLIS MD
593 EDDY ST DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
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Mailing Address
-- TINA MARIE ELLIS MD
1 VIRGINIA AVE STE 201
PROVIDENCE, RI 02905-4427
Phone number: 401-490-0927
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