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1952890741
EDWARD GOLL
PROVIDENCE, RI
NPI
1952890741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: RI MT01564)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
Mr. EDWARD GOLL LMT, MLD
148 WATERMAN ST
PROVIDENCE, RI 02906-2130
Phone number: 401-861-1070
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Mailing Address
Mr. EDWARD GOLL LMT, MLD
30 TECUMSEH ST. APT, SUITE, BLDG. (OPTIONAL)
PROVIDENCE, RI 02906
Phone number: 401-861-1070
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