JONATHAN PAUL BETTENCOURT

MIDDLEBORO, MA
NPI1376944595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MA  S81011543)
Enumeration Date2014-09-07
Last Update Date2014-09-07
Business Address
JONATHAN PAUL BETTENCOURT
404 WAREHAM ST
MIDDLEBORO, MA 02346-3424
Phone number: 508-947-8457
Mailing Address
JONATHAN PAUL BETTENCOURT
404 WAREHAM ST
MIDDLEBORO, MA 02346-3424
Phone number:
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