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1003885682
JAMES OWENQ EVANS
GLASTONBURY, CT
NPI
1003885682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
Mr. JAMES OWENQ EVANS ATC
2345 MAIN ST HEALTHTRAX INC
GLASTONBURY, CT 06033
Phone number: 313-972-6975
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Mailing Address
Mr. JAMES OWENQ EVANS ATC
15196 ORCHARD CT
ROMULUS, MI 48174-2991
Phone number: 734-837-6857
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