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1134630775
JAMES M THERIAULT
SOMERSET, MA
NPI
1134630775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MA 3025)
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
Mr. JAMES M THERIAULT
279 VERMONT AVE
SOMERSET, MA 02726
Phone number: 774-888-8233
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Mailing Address
Mr. JAMES M THERIAULT
279 VERMONT AVE
SOMERSET, MA 02726-3830
Phone number: 774-888-8233
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