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1083001184
EMMANUEL ANDREOULAKIS
PROVIDENCE, RI
NPI
1083001184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI AT00329)
Enumeration Date
2015-04-16
Last Update Date
2015-04-21
Business Address
Mr. EMMANUEL ANDREOULAKIS M.S., ATC/LAT, PES
235 HOPE ST
PROVIDENCE, RI 02912-9090
Phone number: 401-338-3105
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Mailing Address
Mr. EMMANUEL ANDREOULAKIS M.S., ATC/LAT, PES
125 GOFF AVE UNIT 6101
PAWTUCKET, RI 02860-9202
Phone number: 401-338-3105
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