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1649894924
MIMI ROSEALIE BORRELLI
PROVIDENCE, RI
NPI
1649894924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: RI LP05003)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
MIMI ROSEALIE BORRELLI
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 650-283-8746
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Mailing Address
MIMI ROSEALIE BORRELLI
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 650-283-8746
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