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1730205048
KEVIN CHARBONNEAU
NEWPORT, RI
NPI
1730205048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT01054)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- KEVIN CHARBONNEAU
38 BELLEVUE AVE SUITE #5
NEWPORT, RI 02840-3259
Phone number: 401-849-7100
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Mailing Address
-- KEVIN CHARBONNEAU
38 BELLEVUE AVE APARTMENT #5
NEWPORT, RI 02840-3259
Phone number:
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