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1063000214
LYNDA MARIE BANNON
BURLINGTON, MA
NPI
1063000214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MA 418)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
LYNDA MARIE BANNON L ATC
123 CAMBRIDGE ST
BURLINGTON, MA 01803-3711
Phone number: 781-270-1883
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Mailing Address
LYNDA MARIE BANNON L ATC
38 HIGHLAND ST
MEDWAY, MA 02053-2105
Phone number: 508-533-9002
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