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1679893770
HUMBERTO JOSE MATOS
PROVIDENCE, RI
NPI
1679893770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: RI DACM00104)
Additional Taxonomies
171100000X Acupuncturist
Enumeration Date
2010-06-11
Last Update Date
2023-06-01
Business Address
Mr. HUMBERTO JOSE MATOS DAOM
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
Mr. HUMBERTO JOSE MATOS DAOM
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Copy
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