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1952501942
JASON CHARLES XYNELLIS
PROVIDENCE, RI
NPI
1952501942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: RI PA00501)
Enumeration Date
2007-07-19
Last Update Date
2012-11-30
Business Address
-- JASON CHARLES XYNELLIS PA-C
1195 N MAIN ST
PROVIDENCE, RI 02904-1824
Phone number: 401-331-8555
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Mailing Address
-- JASON CHARLES XYNELLIS PA-C
1195 N MAIN ST
PROVIDENCE, RI 02904-1824
Phone number: 401-331-8555
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