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1023002243
THOMAS STEPHEN BOURDON
LEWISTON, ME
NPI
1023002243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME ATC185)
Enumeration Date
2005-09-02
Last Update Date
2007-07-08
Business Address
Mr. THOMAS STEPHEN BOURDON ATC
190 BIRCH ST
LEWISTON, ME 04240-6408
Phone number: 207-333-3236
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Mailing Address
Mr. THOMAS STEPHEN BOURDON ATC
80 ANDROSCOGGIN AVE APT 1
LEWISTON, ME 04240-6606
Phone number: 207-671-5016
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