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1336212232
MARK KENNETH ANDREW
PROVIDENCE, RI
NPI
1336212232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI 1922)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
-- MARK KENNETH ANDREW MSPT
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5418
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Mailing Address
-- MARK KENNETH ANDREW MSPT
7 CECILE ST
LINCOLN, RI 02865-3209
Phone number: 401-864-5723
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