Individual
MR. JOHN LABAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 LAURIE LN, BRISTOL, RI 02809-4535
(401) 253-5809
(401) 253-2203
Mailing address
3 LAURIE LN, BRISTOL, RI 02809-4535
(401) 253-5809
(401) 253-2203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ELI-0019
RI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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