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1891209045
JESUS BERRIO
PROVIDENCE, RI
NPI
1891209045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00716)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
JESUS BERRIO
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-4100
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Mailing Address
JESUS BERRIO
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number:
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