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1982123808
KATIE MICHELLE SELEZNEV
PROVIDENCE, RI
NPI
1982123808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: RI APRN01682)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
KATIE MICHELLE SELEZNEV NP-C
208 COLLYER ST
PROVIDENCE, RI 02904-1560
Phone number: 401-793-2960
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Mailing Address
KATIE MICHELLE SELEZNEV NP-C
149 BREWSTER RD
WEST HARTFORD, CT 06117-2102
Phone number: 860-559-1633
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