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1922418565
MARTIN JEWELL
WARREN, RI
NPI
1922418565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00521)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- MARTIN JEWELL
25 RAILROAD AVE
WARREN, RI 02885-3206
Phone number: 401-247-0173
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Mailing Address
-- MARTIN JEWELL
25 RAILROAD AVE
WARREN, RI 02885-3206
Phone number: 401-247-0173
Copy
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