MICHAEL MEDEIROS

PORTSMOUTH, RI
NPI1184687956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI  AT00020)
Enumeration Date2006-04-11
Last Update Date2007-07-08
Business Address
-- MICHAEL MEDEIROS ATC
75 ADAMS DR
PORTSMOUTH, RI 02871-5428
Phone number: 401-849-0098
Mailing Address
-- MICHAEL MEDEIROS ATC
75 ADAMS DR
PORTSMOUTH, RI 02871-5428
Phone number:
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