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1104957620
RUSSELL D. FIORE
PROVIDENCE, RI
NPI
1104957620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: RI AT00014)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
MR. RUSSELL D. FIORE ATC
BROWN UNIVERSITY 235 HOPE ST
PROVIDENCE, RI 02912-0001
Phone number: 401-863-3851
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Mailing Address
MR. RUSSELL D. FIORE ATC
6 RED CHIMNEY DR
LINCOLN, RI 02865-4610
Phone number: 401-723-1055
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