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1922164862
MARK DUFRESNE
PROVIDENCE, RI
NPI
1922164862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI 028)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
-- MARK DUFRESNE COTA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8661
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Mailing Address
-- MARK DUFRESNE COTA
28 CLARK ST
NEW BEDFORD, MA 02740-7101
Phone number: 508-984-4872
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