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Individual

JULIE ARENA-BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.O.

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
264
RI
332H00000X
Eyewear Supplier
Primary
RI0264
RI

Other

Enumeration date
07/19/2008
Last updated
09/30/2008
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