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Individual

CHRISTINE O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN, AE-C

Contact information

Practice address
1 RIVER ST, THUNDERMIST HEALTH CENTER, WAKEFIELD, RI 02879
(401) 783-0523
Mailing address
PO BOX 9582, WARWICK, RI 02889-0582

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN10744
RI
174H00000X
Health Educator
Primary
AE-C CERT NO. 5377
RI

Other

Enumeration date
09/24/2015
Last updated
09/24/2015
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