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1770331324
REBECCA WALES
PROVIDENCE, RI
NPI
1770331324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI LP06286)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
REBECCA WALES MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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Mailing Address
REBECCA WALES MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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