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1912079500
LEONARD R BERTHEAU
PAWTUCKET, RI
NPI
1912079500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: RI DO01307)
Enumeration Date
2006-11-15
Last Update Date
2024-07-09
Business Address
LEONARD R BERTHEAU D.O.
111 BREWSTER ST
PAWTUCKET, RI 02860-4400
Phone number: 401-729-2304
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Mailing Address
LEONARD R BERTHEAU D.O.
455 TOLL GATE RD
WARWICK, RI 02886-2759
Phone number: 401-273-0641
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