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Individual

MRS. DEBORAH ANNE WINTHROP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 682-2272
(401) 682-2273
Mailing address
103 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 682-2272
(401) 682-2273

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050506167
TRI CARE
RI
01
21501-9
BLUE CROSS OF RI
RI
05
30774
RI
01
410336
BLUE CHIP OF RI
RI
Enumeration date
05/17/2007
Last updated
06/11/2008
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