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1124437132
AMBER VAILLANCOURT
PROVIDENCE, RI
NPI
1124437132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152WV0400X Optometrist, Vision Therapy
(Licence: MA COMS 6854)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- AMBER VAILLANCOURT M. Ed. COMS
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
-- AMBER VAILLANCOURT M. Ed. COMS
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Copy
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