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1831616861
MICAH SMALL
WARWICK, RI
NPI
1831616861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: RI APRN01665)
Enumeration Date
2017-08-30
Last Update Date
2019-04-30
Business Address
MICAH SMALL AGNP-BC
475 KILVERT ST
WARWICK, RI 02886-1379
Phone number: 401-256-1967
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Mailing Address
MICAH SMALL AGNP-BC
69 HIGH ST
PLAINVILLE, MA 02762-1801
Phone number: 774-306-1630
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