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1053444109
DINO B IACOBO
EAST PROVIDENCE, RI
NPI
1053444109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT 00856)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mr. DINO B IACOBO OTRL
1 EVERGREEN DR
EAST PROVIDENCE, RI 02914-1503
Phone number: 401-438-3250
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Mailing Address
Mr. DINO B IACOBO OTRL
115 WAVELAND AVE
JOHNSTON, RI 02919-3642
Phone number: 401-438-3250
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