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1033302609
BRIAN ELLIOTT
BLOOMFIELD, CT
NPI
1033302609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
-- BRIAN ELLIOTT
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002-3123
Phone number: 860-769-6690
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Mailing Address
-- BRIAN ELLIOTT
216 GATEWOOD DR
ENFIELD, CT 06082-6303
Phone number:
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