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1114943818
KEITH MICHAEL BELMORE
AUBURNDALE, MA
NPI
1114943818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MA 3494)
Enumeration Date
2006-07-14
Last Update Date
2020-09-14
Business Address
KEITH MICHAEL BELMORE DAT, ATC
1844 COMMONWEALTH AVE
AUBURNDALE, MA 02466-2709
Phone number: 617-243-2095
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Mailing Address
KEITH MICHAEL BELMORE DAT, ATC
142 JENKINS FARM RD
CHESTER, NH 03036-4405
Phone number: 603-767-8930
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