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1255946901
MAX FOKIN
NORTH PROVIDENCE, RI
NPI
1255946901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT03313)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
MAX FOKIN
1401 DOUGLAS AVE
NORTH PROVIDENCE, RI 02904-4058
Phone number: 401-726-7100
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Mailing Address
MAX FOKIN
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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