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1720399793
GINA M CONNERTON
PROVIDENCE, RI
NPI
1720399793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: RI 20010098)
Enumeration Date
2010-06-24
Last Update Date
2010-06-24
Business Address
Mrs. GINA M CONNERTON MLP-NP
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
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Mailing Address
Mrs. GINA M CONNERTON MLP-NP
11 DUDLEY AVE S
MIDDLETOWN, RI 02842-5421
Phone number: 401-847-5501
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