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1912217415
BETHANY NELSON
PROVIDENCE, RI
NPI
1912217415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: RI PA00560)
Enumeration Date
2010-10-18
Last Update Date
2020-01-29
Business Address
Ms. BETHANY NELSON PA-C
164 SUMMIT AVE C70
PROVIDENCE, RI 02906-2853
Phone number: 401-793-4545
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Mailing Address
Ms. BETHANY NELSON PA-C
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-453-9625
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