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1639728884
KELLY ANN BURNISTON GODIN
PROVIDENCE, RI
NPI
1639728884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI 163w00000x)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
KELLY ANN BURNISTON GODIN RN
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-228-6812
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Mailing Address
KELLY ANN BURNISTON GODIN RN
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-228-6812
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