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1790295285
LEA RENE KELLY
PROVIDENCE, RI
NPI
1790295285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: RI APRN01693)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
Mrs. LEA RENE KELLY NP-C
33 STANIFORD ST
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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Mailing Address
Mrs. LEA RENE KELLY NP-C
33 STANIFORD ST
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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