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1063036291
MELISSA BETH BROUSSEAU
EASTHAMPTON, MA
NPI
1063036291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1004)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
Ms. MELISSA BETH BROUSSEAU L., ATC.
19 PAYSON AVE
EASTHAMPTON, MA 01027-2246
Phone number: 413-529-3089
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Mailing Address
Ms. MELISSA BETH BROUSSEAU L., ATC.
220 MAIN ST APT 1
EASTHAMPTON, MA 01027-2025
Phone number: 413-626-9709
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