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1740862879
MARTHA TANJONG
PROVIDENCE, RI
NPI
1740862879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI RN46976)
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
MARTHA TANJONG RN
360 DUNCAN DR
PROVIDENCE, RI 02906-7003
Phone number: 401-385-5150
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Mailing Address
MARTHA TANJONG RN
1 BELLA CT
NORTH PROVIDENCE, RI 02911-3547
Phone number: 508-509-4284
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