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1790471977
JENNIFER L VASCONCELOS
PROVIDENCE, RI
NPI
1790471977
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Former Name
JENNIFER L PENO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: RI MT01510)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
MRS. JENNIFER L VASCONCELOS LMT
189 GOVERNOR ST STE 202
PROVIDENCE, RI 02906-3124
Phone number: 401-484-4138
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Mailing Address
MRS. JENNIFER L VASCONCELOS LMT
111 VALLETTE ST
CRANSTON, RI 02920-6223
Phone number: 401-484-4138
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