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1508949629
MOSES CALOURO
PAWTUCKET, RI
NPI
1508949629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI LCDP00083)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
MOSES CALOURO LCDP
101 BACON ST
PAWTUCKET, RI 02860-5542
Phone number: 401-722-3560
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Mailing Address
MOSES CALOURO LCDP
101 BACON ST
PAWTUCKET, RI 02860-5542
Phone number: 401-722-3560
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