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1518195593
ALEKO KIMBOURIS
PROVIDENCE, RI
NPI
1518195593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: RI PA01159)
Enumeration Date
2009-06-29
Last Update Date
2019-10-03
Business Address
ALEKO KIMBOURIS PA-C
164 SUMMIT AVE
PROVIDENCE, RI 02906
Phone number: 401-793-4102
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Mailing Address
ALEKO KIMBOURIS PA-C
117 ELLENFILED STREET SUITE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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