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1194094383
NICOLE LOPEZ
PROVIDENCE, RI
NPI
1194094383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
-- NICOLE LOPEZ MA
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
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Mailing Address
-- NICOLE LOPEZ MA
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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