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1083707806
BRIAN EDWARD HOLLOWAY
WALLINGFORD, CT
NPI
1083707806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- BRIAN EDWARD HOLLOWAY ATC
333 CHRISTIAN ST
WALLINGFORD, CT 06492-3818
Phone number: 203-697-2425
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Mailing Address
-- BRIAN EDWARD HOLLOWAY ATC
67R PENT RD
DURHAM, CT 06422-2204
Phone number:
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