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1205159217
SUSAN M IACONO
PROVIDENCE, RI
NPI
1205159217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2010-03-04
Last Update Date
2010-03-04
Business Address
-- SUSAN M IACONO BA
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9100
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Mailing Address
-- SUSAN M IACONO BA
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9100
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