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1952787434
CARISSA ANCONA
PROVIDENCE, RI
NPI
1952787434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: RI RPH05471)
Enumeration Date
2015-08-06
Last Update Date
2016-12-30
Business Address
CARISSA ANCONA
500 BROAD ST SUITE 6
PROVIDENCE, RI 02907-1362
Phone number: 401-868-9070
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Mailing Address
CARISSA ANCONA
30 EVANS LN
HOPE VALLEY, RI 02832-2313
Phone number:
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