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1891050795
MIRABELLE MATTAR
RIVERSIDE, RI
NPI
1891050795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI MD15792)
Enumeration Date
2012-07-07
Last Update Date
2018-03-17
Business Address
-- MIRABELLE MATTAR M.D.
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915-5061
Phone number: 401-432-1000
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Mailing Address
-- MIRABELLE MATTAR M.D.
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number:
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