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1952441776
STEVEN A MIGNACCA
RIVERSIDE, RI
NPI
1952441776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT01117)
Enumeration Date
2007-02-08
Last Update Date
2012-12-14
Business Address
-- STEVEN A MIGNACCA P.T.
697 WILLETT AVE
RIVERSIDE, RI 02915-2642
Phone number: 401-228-7678
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Mailing Address
-- STEVEN A MIGNACCA P.T.
PO BOX 20555
CRANSTON, RI 02920-0946
Phone number: 401-228-7678
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