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Individual

MRS. KATHLEEN E GABRIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COMS

Contact information

Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
23 GRANITE ST # 3, SOMERVILLE, MA 02143-2821
(617) 763-5377

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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