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1184333684
MICHELLE LEE COSTA
PAWTUCKET, RI
NPI
1184333684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225500000X Specialist/Technologist
(Licence: RI TAT02357)
Enumeration Date
2022-11-23
Last Update Date
2024-03-14
Business Address
MICHELLE LEE COSTA MA
1005 MAIN ST UNIT 715C
PAWTUCKET, RI 02860-7802
Phone number: 401-602-5652
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Mailing Address
MICHELLE LEE COSTA MA
1 SILO LN
COVENTRY, RI 02816-8251
Phone number: 401-602-5652
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