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1659548998
SUSAN KATHLEEN VON VILLAS
PROVIDENCE, RI
NPI
1659548998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI 34064)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Ms. SUSAN KATHLEEN VON VILLAS
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
Ms. SUSAN KATHLEEN VON VILLAS
28 DIXON ST
NEWPORT, RI 02840-4039
Phone number: 401-842-7411
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