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1982130548
PAMELA KUSIAK
PROVIDENCE, RI
NPI
1982130548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: RI APRN01587)
Enumeration Date
2017-05-02
Last Update Date
2019-11-06
Business Address
PAMELA KUSIAK APRN-CNP
164 SUMMIT AVENUE SUITE C MEDICINIE CLINIC
PROVIDENCE, RI 02906
Phone number: 401-793-2930
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Mailing Address
PAMELA KUSIAK APRN-CNP
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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