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1962270918
BONITA IRENE DEMELLO
PROVIDENCE, RI
NPI
1962270918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: RI APRN03885)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
BONITA IRENE DEMELLO CNP (PMHNP)
17 ADELPHI AVE
PROVIDENCE, RI 02906-4119
Phone number: 866-708-1240
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Mailing Address
BONITA IRENE DEMELLO CNP (PMHNP)
35 ANTHONY RD
FOSTER, RI 02825-1403
Phone number: 401-632-6514
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