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1780870691
LISA R BORGE
PROVIDENCE, RI
NPI
1780870691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: RI PA00324)
Enumeration Date
2007-09-25
Last Update Date
2024-05-24
Business Address
Ms. LISA R BORGE PA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5891
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Mailing Address
Ms. LISA R BORGE PA
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number:
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