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1528099405
RUSSELL AUCLAIR
PROVIDENCE, RI
NPI
1528099405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: RI ODTG 00507)
Enumeration Date
2006-07-06
Last Update Date
2008-10-01
Business Address
Dr. RUSSELL AUCLAIR O.D.
780 N MAIN ST
PROVIDENCE, RI 02904-5706
Phone number: 401-331-1108
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Mailing Address
Dr. RUSSELL AUCLAIR O.D.
780 N MAIN ST
PROVIDENCE, RI 02904-5706
Phone number: 401-331-1108
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