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1922060466
JONATHAN IRVINE GATES
PROVIDENCE, RI
NPI
1922060466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI 11135)
Enumeration Date
2006-04-03
Last Update Date
2021-04-14
Business Address
JONATHAN IRVINE GATES MD
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Phone number: 401-444-0570
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Mailing Address
JONATHAN IRVINE GATES MD
375 ALLENS AVE
PROVIDENCE, RI 02905-5010
Phone number: 401-444-0400
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