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1255644209
MIGUEL H CUELLAR
PROVIDENCE, RI
NPI
1255644209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI 101YA0400X)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
-- MIGUEL H CUELLAR BS
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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Mailing Address
-- MIGUEL H CUELLAR BS
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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