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1851654164
TIMOTHY ALLEN SMITH
PROVIDENCE, RI
NPI
1851654164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: RI rn49781)
Enumeration Date
2012-06-21
Last Update Date
2012-06-21
Business Address
-- TIMOTHY ALLEN SMITH RN
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
-- TIMOTHY ALLEN SMITH RN
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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