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1194507772
MAX KOIVISTO
BECKET, MA
NPI
1194507772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: MA A0900516)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
Mr. MAX KOIVISTO NRAEMT
629 JACOBS LADDER ROAD
BECKET, MA 01223
Phone number: 413-623-5027
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Mailing Address
Mr. MAX KOIVISTO NRAEMT
557 MAIN ST
BECKET, MA 01223-3252
Phone number: 413-623-5027
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