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1013012590
STEVEN MARK CANNATA
WEST HARTFORD, CT
NPI
1013012590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000065)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. STEVEN MARK CANNATA M.S., ATC, LAT
170 KINGSWOOD RD
WEST HARTFORD, CT 06119-1430
Phone number: 860-233-3500
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Mailing Address
Mr. STEVEN MARK CANNATA M.S., ATC, LAT
29 RIVENDELL RD
MARLBOROUGH, CT 06447-1260
Phone number: 860-228-0210
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