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1548540438
MARK LIBASSI
JOHNSTON, RI
NPI
1548540438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: RI 113)
Enumeration Date
2011-08-23
Last Update Date
2019-04-08
Business Address
MARK LIBASSI do
1395 ATWOOD AVE STE 103
JOHNSTON, RI 02919-4930
Phone number: 401-943-4330
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Mailing Address
MARK LIBASSI do
1450 ATWOOD AVENUE
JOHNSTON, RI 02919-4840
Phone number: 401-943-4330
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