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1821655671
BRENDAN J INNES
PROVIDENCE, RI
NPI
1821655671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: RI LP04513)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
BRENDAN J INNES MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6489
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Mailing Address
BRENDAN J INNES MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6489
Copy
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