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1124465000
LAUREN GOULART
EAST PROVIDENCE, RI
NPI
1124465000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI OTA00660)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- LAUREN GOULART COTA/L
500 WATERFRONT DR
EAST PROVIDENCE, RI 02914-5048
Phone number: 401-272-5280
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Mailing Address
-- LAUREN GOULART COTA/L
92 OAK AVE
RIVERSIDE, RI 02915-4442
Phone number: 401-345-2319
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