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Individual
MICHAEL S NOONAN
Active
Individual
MICHAEL S NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4262
MA
225100000X
Physical Therapist
Primary
621
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402266
BLUE CHIP
RI
Enumeration date
02/28/2006
Last updated
06/10/2008
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