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1134716434
CORY CHARLES VIVEIROS
BRISTOL, RI
NPI
1134716434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI 2000006868)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
Mr. CORY CHARLES VIVEIROS ATC
1 OLD FERRY RD
BRISTOL, RI 02809-2921
Phone number: 410-254-3319
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Mailing Address
Mr. CORY CHARLES VIVEIROS ATC
1 OLD FERRY RD
BRISTOL, RI 02809-2921
Phone number: 410-254-3319
Copy
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