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1598721656
LISA B BOB
PAWTUCKET, RI
NPI
1598721656
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Former Name
LISA B BOULT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine Geriatric Medicine
(Licence: RI MD06067)
Enumeration Date
2006-04-26
Last Update Date
2013-04-16
Business Address
LISA B BOB M.D.
407 EAST AVE SUITE 110
PAWTUCKET, RI 02860-5290
Phone number: 401-728-8245
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Mailing Address
LISA B BOB M.D.
17 VIRGINIA AVE SUITE 107
PROVIDENCE, RI 02905-4406
Phone number: 401-784-4923
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