JASON CHARLES XYNELLIS

PROVIDENCE, RI
NPI1952501942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: RI  PA00501)
Enumeration Date2007-07-19
Last Update Date2012-11-30
Business Address
-- JASON CHARLES XYNELLIS PA-C
1195 N MAIN ST
PROVIDENCE, RI 02904-1824
Phone number: 401-331-8555
Mailing Address
-- JASON CHARLES XYNELLIS PA-C
1195 N MAIN ST
PROVIDENCE, RI 02904-1824
Phone number: 401-331-8555
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