Provider Information for 1508101890
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CHRISTINE WEBER MASTERS
Sex: Female
NPI: 1508101890
Last Updated: 2012-11-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508101890 | ||||||||
| Enumeration Date | 2012-11-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1471 ELMWOOD AVE CRANSTON, RI 02910-3849 United States Phone: 401-724-8400 | Fax:401-722-5280 | ||||||||
| Primary Practice Address | 1471 ELMWOOD AVE CRANSTON, RI 02910-3849 United States Phone: 401-724-8400 | Fax:401-722-5280 | ||||||||
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