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1376124164
ELLIS M BERNS
PROVIDENCE, RI
NPI
1376124164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
ELLIS M BERNS
222 RICHMOND ST
PROVIDENCE, RI 02903-4228
Phone number: 401-863-3330
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Mailing Address
ELLIS M BERNS
222 RICHMOND ST
PROVIDENCE, RI 02903-4228
Phone number:
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