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1144889403
EVAN MARK PARADIS
OLD TOWN, ME
NPI
1144889403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT459)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
EVAN MARK PARADIS BS ATC
100 MIDDLE ST APT 1
OLD TOWN, ME 04468-1480
Phone number: 207-659-9621
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Mailing Address
EVAN MARK PARADIS BS ATC
100 MIDDLE ST APT 1
OLD TOWN, ME 04468-1480
Phone number: 207-659-9621
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