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1043247356
MICHAEL JAMES DESAVAGE
WORCESTER, MA
NPI
1043247356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 727)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JAMES DESAVAGE MEd
100 INSTITUTE RD
WORCESTER, MA 01609
Phone number: 508-831-5733
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Mailing Address
Mr. MICHAEL JAMES DESAVAGE MEd
15 CHATANIKA AVE
WORCESTER, MA 01602
Phone number: 508-397-7786
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