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1265192298
TATIANA VIDAL
PROVIDENCE, RI
NPI
1265192298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
TATIANA VIDAL
300 RICHMOND ST
PROVIDENCE, RI 02903-4222
Phone number: 401-430-0125
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Mailing Address
TATIANA VIDAL
208 PUTNAM PIKE APT 1
JOHNSTON, RI 02919-1401
Phone number: 401-617-3248
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