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1205688942
CONVOCURE THERAPEUTICS LLC
PROVIDENCE, RI
NPI
1205688942
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Entity Type
Organization
Authorized Contact
ELIJAH PAGE
Manager
401-484-0494
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
CONVOCURE THERAPEUTICS LLC
98 SUMTER ST
PROVIDENCE, RI 02907-2117
Phone number: 401-484-0494
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Mailing Address
CONVOCURE THERAPEUTICS LLC
98 SUMTER ST
PROVIDENCE, RI 02907-2117
Phone number:
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