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1023233160
PETER E IVES
WALLINGFORD, CT
NPI
1023233160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000208)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mr. PETER E IVES Athletic Trainer
1000 YALE AVE
WALLINGFORD, CT 06492-1838
Phone number: 203-294-0449
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Mailing Address
Mr. PETER E IVES Athletic Trainer
718 BROAD ST UNIT B6
MERIDEN, CT 06450-4371
Phone number: 203-639-8556
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