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1043429111
ADAM RICHARD TYSON
NEW HAMPTON, NH
NPI
1043429111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NH 0172)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
MR. ADAM RICHARD TYSON ATC
70 MAIN ST.
NEW HAMPTON, NH 03256-0070
Phone number: 603-677-3443
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Mailing Address
MR. ADAM RICHARD TYSON ATC
PO BOX 70
NEW HAMPTON, NH 03256-0070
Phone number: 603-677-3400
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