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1376747659
STEPHEN MICHAEL MEDEIROS
WARREN, RI
NPI
1376747659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI pta00398)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN MICHAEL MEDEIROS pta
642 METACOM AVE
WARREN, RI 02885-2350
Phone number: 401-245-2860
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Mailing Address
Mr. STEPHEN MICHAEL MEDEIROS pta
6 JENNY LN
BRISTOL, RI 02809-4138
Phone number:
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