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1205695830
SCOTT EVAN GLUCKSMAN
STAMFORD, CT
NPI
1205695830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 54.000577)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
SCOTT EVAN GLUCKSMAN LATC
125 ROXBURY RD
STAMFORD, CT 06902-1295
Phone number: 203-912-5206
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Mailing Address
SCOTT EVAN GLUCKSMAN LATC
140 CLUB RD
STAMFORD, CT 06905-2120
Phone number: 203-912-5206
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