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1346815826
JESSE RUDOLPH
PAWTUCKET, RI
NPI
1346815826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT03389)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
JESSE RUDOLPH DPT
21 DIVISION ST
PAWTUCKET, RI 02860-5352
Phone number: 401-726-7100
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Mailing Address
JESSE RUDOLPH DPT
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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