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1174351092
JONATHAN COSTA CABRAL
EAST PROVIDENCE, RI
NPI
1174351092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: RI RN66709)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
JONATHAN COSTA CABRAL
150 DEWEY AVE
EAST PROVIDENCE, RI 02914-2140
Phone number: 401-663-1983
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Mailing Address
JONATHAN COSTA CABRAL
150 DEWEY AVE
EAST PROVIDENCE, RI 02914-2140
Phone number:
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