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1063180651
ROBERT DOUGLAS FROST
WEST HAVEN, CT
NPI
1063180651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1251)
Enumeration Date
2021-08-31
Last Update Date
2021-08-31
Business Address
ROBERT DOUGLAS FROST ATC, LAT
13 PAULINE AVE
WEST HAVEN, CT 06516-6928
Phone number: 203-745-6646
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Mailing Address
ROBERT DOUGLAS FROST ATC, LAT
13 PAULINE AVE
WEST HAVEN, CT 06516-6928
Phone number: 203-745-6646
Copy
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