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1710763412
JACQUELINE ANTEPENKO
PROVIDENCE, RI
NPI
1710763412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MA 2355554)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
JACQUELINE ANTEPENKO
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4799
Phone number: 401-273-7100
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Mailing Address
JACQUELINE ANTEPENKO
176 REYNOLDS AVE
REHOBOTH, MA 02769-3015
Phone number: 508-223-7611
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