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Individual

MRS. DEBRA LEE SERVELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
128 OLNEY KEACH RD, CHEPACHET, RI 02814-1161
(401) 568-1523

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NPP26084
RI

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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