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1790744381
IAN PAUL KROUSON
PROVIDENCE, RI
NPI
1790744381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: RI 00398)
Enumeration Date
2006-03-22
Last Update Date
2019-09-16
Business Address
IAN PAUL KROUSON PA
1195 N MAIN ST
PROVIDENCE, RI 02904-1824
Phone number: 401-861-3782
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Mailing Address
IAN PAUL KROUSON PA
70 S BAY DR UNIT A2
NARRAGANSETT, RI 02882-2870
Phone number: 860-460-7361
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