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1942571294
BRIAN C MARTIN
PROVIDENCE, RI
NPI
1942571294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-01-18
Last Update Date
2013-09-17
Business Address
-- BRIAN C MARTIN PA
593 EDDY ST DAVOL 141
PROVIDENCE, RI 02903-4923
Phone number: 401-854-2504
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Mailing Address
-- BRIAN C MARTIN PA
PO BOX 9484
PROVIDENCE, RI 02940-9484
Phone number: 401-854-2500
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