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1689030579
SHEVA MIRDAMADI- TEHRANI
PROVIDENCE, RI
NPI
1689030579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MA RN2263418)
Enumeration Date
2016-01-07
Last Update Date
2018-06-08
Business Address
SHEVA MIRDAMADI- TEHRANI NP
825 N MAIN ST
PROVIDENCE, RI 02904
Phone number: 401-521-9700
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Mailing Address
SHEVA MIRDAMADI- TEHRANI NP
825 N MAIN ST
PROVIDENCE, RI 02904-5750
Phone number: 401-521-9700
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