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Individual

KATHLEEN MARY RAFUSE PARNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS00675
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22432-9
BLUE CROSS BLUE SHIELD OF
RI
01
412321
BLUE CROSS BLUE SHIELD OF
RI
Enumeration date
07/26/2007
Last updated
07/26/2007
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