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1962409714
TIMOTHY W BURNAP
PROVIDENCE, RI
NPI
1962409714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: RI PA00074)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
-- TIMOTHY W BURNAP PA
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
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Mailing Address
-- TIMOTHY W BURNAP PA
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
Copy
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