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1962121889
SAMANTHA DESSERT
PROVIDENCE, RI
NPI
1962121889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LS0200X Nurse Practitioner, School
(Licence: RI APRN03841)
Enumeration Date
2022-08-24
Last Update Date
2023-10-31
Business Address
SAMANTHA DESSERT AGACNP
305 SHIPYARD ST
PROVIDENCE, RI 02905-5212
Phone number: 401-598-1151
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Mailing Address
SAMANTHA DESSERT AGACNP
8 ABBOTT PARK PL
PROVIDENCE, RI 02903-3775
Phone number: 401-598-1104
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