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1184769770
JEFFREY BRIAN SMITH
AMHERST, MA
NPI
1184769770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1435)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY BRIAN SMITH ATC
131 COMMONWEALTH AVE BOYDEN ROOM 9
AMHERST, MA 01003-9253
Phone number: 413-545-2866
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Mailing Address
Mr. JEFFREY BRIAN SMITH ATC
36 COUNTRY LN
SUNDERLAND, MA 01375-9600
Phone number: 413-665-4204
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