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1154820348
MICHELLE M MALLETT
DURHAM, NH
NPI
1154820348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NH 1259)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
MICHELLE M MALLETT ATC
145 MAIN ST
DURHAM, NH 03824-3572
Phone number: 605-868-4507
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Mailing Address
MICHELLE M MALLETT ATC
5 BENNETT WAY APT 20
NEWMARKET, NH 03857-2363
Phone number: 605-868-4507
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