ALEXANDER SOULE-REGINE

BURLINGTON, VT
NPI1104209139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT  104.0112823)
Enumeration Date2015-07-08
Last Update Date2015-07-08
Business Address
-- ALEXANDER SOULE-REGINE
60 AUSTIN DR APT 2
BURLINGTON, VT 05401-5413
Phone number: 978-846-7097
Mailing Address
-- ALEXANDER SOULE-REGINE
60 AUSTIN DR APT 2
BURLINGTON, VT 05401-5413
Phone number: 978-846-7097
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