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1588166102
STACY NADINE HALTAUFDERHYDE
WARWICK, RI
NPI
1588166102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APN01730)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
STACY NADINE HALTAUFDERHYDE
475 KILVERT ST
WARWICK, RI 02886-1379
Phone number: 401-732-7406
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Mailing Address
STACY NADINE HALTAUFDERHYDE
475 KILVERT ST
WARWICK, RI 02886-1379
Phone number:
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