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Individual

MADELINE HOUDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
219 STATE ST APT 1, BRISTOL, RI 02809-3242
(847) 347-6457
Mailing address
219 STATE ST APT 1, BRISTOL, RI 02809-3242

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-009505
IL

Other

Enumeration date
12/19/2022
Last updated
09/17/2024
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