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1629074141
GEORGE D BERTHERMAN
PROVIDENCE, RI
NPI
1629074141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: RI ODTG00481)
Enumeration Date
2005-06-21
Last Update Date
2008-04-01
Business Address
Dr. GEORGE D BERTHERMAN O.D
1466 BROAD ST
PROVIDENCE, RI 02905-2836
Phone number: 401-941-6221
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Mailing Address
Dr. GEORGE D BERTHERMAN O.D
1466 BROAD ST
PROVIDENCE, RI 02905-2836
Phone number: 401-941-6221
Copy
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