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1669566303
LEE EVERETT EDSTROM
PROVIDENCE, RI
NPI
1669566303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: RI 5949)
Enumeration Date
2006-10-03
Last Update Date
2023-03-07
Business Address
Dr. LEE EVERETT EDSTROM M.D.
2 DUDLEY SUITE 460
PROVIDENCE, RI 02905
Phone number: 401-331-2303
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Mailing Address
Dr. LEE EVERETT EDSTROM M.D.
2 DUDLEY SUITE 460
PROVIDENCE, RI 02905
Phone number: 401-331-2303
Copy
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