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1982296992
TESSA JUDE CENTRACCHIO
PROVIDENCE, RI
NPI
1982296992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: RI 363LP0200X)
Enumeration Date
2021-02-10
Last Update Date
2023-01-03
Business Address
Miss TESSA JUDE CENTRACCHIO NP
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6195
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Mailing Address
Miss TESSA JUDE CENTRACCHIO NP
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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