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Doctors / OH
NURSE PRACTITIONER
Graduated: 2005
NPI: 1114220290
5150 E MAIN ST, SUITE 105
WHITEHALL, OH 432132441
24 ALBION RD
LINCOLN, RI 028653706
PO BOX, SUITE 5478
PAWTUCKET, RI 028625478
Source: CMS National Downloadable File, September 2026.