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Individual

CARI LIN AZEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1220 PONTIAC AVE STE 101, CRANSTON, RI 02920-4455
(401) 943-4660
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00903
RI

Other

Enumeration date
10/13/2015
Last updated
02/17/2023
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