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1023008836
JASON CHRISTOPHER BOUTON
STAMFORD, CT
NPI
1023008836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 079702712)
Enumeration Date
2005-10-24
Last Update Date
2007-07-08
Business Address
Mr. JASON CHRISTOPHER BOUTON MS A.T.,C,
1450 NEWFIELD AVE
STAMFORD, CT 06905-1501
Phone number: 203-667-0387
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Mailing Address
Mr. JASON CHRISTOPHER BOUTON MS A.T.,C,
53 MAGNOLIA AVE
NORWALK, CT 06850-3634
Phone number: 203-322-3496
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