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1396279147
KEVIN COLASURDO
JOHNSTON, RI
NPI
1396279147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI AT00414)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- KEVIN COLASURDO
21 IRONS AVE
JOHNSTON, RI 02919-2707
Phone number: 413-636-5048
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Mailing Address
-- KEVIN COLASURDO
21 IRONS AVE
JOHNSTON, RI 02919-2707
Phone number: 413-636-5048
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