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1093770059
HENRY R VAILLANCOURT
FALL RIVER, MA
NPI
1093770059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 42866)
Enumeration Date
2006-04-20
Last Update Date
2007-07-09
Business Address
Dr. HENRY R VAILLANCOURT MD
1030 PRESIDENT AVE SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720-5923
Phone number: 508-676-3411
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Mailing Address
Dr. HENRY R VAILLANCOURT MD
1030 PRESIDENT AVE SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720-5923
Phone number: 508-676-3411
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