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1821774308
JON MATTINGLY
PROVIDENCE, RI
NPI
1821774308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: RI MT01438)
Enumeration Date
2023-06-27
Last Update Date
2023-08-03
Business Address
Mr. JON MATTINGLY LMT
340 BROADWAY # 5
PROVIDENCE, RI 02909-1102
Phone number: 401-321-4130
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Mailing Address
Mr. JON MATTINGLY LMT
340 BROADWAY # 5
PROVIDENCE, RI 02909-1102
Phone number: 401-321-4130
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