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1053659250
MARK W SARAULT
GLASTONBURY, CT
NPI
1053659250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160301117)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
-- MARK W SARAULT ATC,AT/L
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 860-633-5572
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Mailing Address
-- MARK W SARAULT ATC,AT/L
223 116TH AVE NE
LAKE STEVENS, WA 98258-8628
Phone number: 317-213-8532
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