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Individual

GINA VESSELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
765 ALLENS AVE, SUITE 102, PROVIDENCE, RI 02905-5443
(401) 490-8900
(401) 490-2619
Mailing address
50 FLANDERS ST, JOHNSTON, RI 02919-3675
(401) 742-5547

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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