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1073745998
THEPDARA BORIBOUN
WOONSOCKET, RI
NPI
1073745998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT00974)
Enumeration Date
2009-08-11
Last Update Date
2009-08-11
Business Address
-- THEPDARA BORIBOUN OTRL
245 MAIN ST
WOONSOCKET, RI 02895-3123
Phone number: 401-766-0900
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Mailing Address
-- THEPDARA BORIBOUN OTRL
3095 MENDON RD
CUMBERLAND, RI 02864-2401
Phone number: 401-524-5236
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