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1629230164
SHAHRZAD EHDAIVAND SLATER
PROVIDENCE, RI
NPI
1629230164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: RI LP01432)
Enumeration Date
2008-06-26
Last Update Date
2015-03-24
Business Address
-- SHAHRZAD EHDAIVAND SLATER MD, MPH
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1122
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Mailing Address
-- SHAHRZAD EHDAIVAND SLATER MD, MPH
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1122
Copy
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