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1225545148
MICHAEL RICHARD SAMPSON
WALLINGFORD, CT
NPI
1225545148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1311)
Enumeration Date
2017-12-30
Last Update Date
2017-12-30
Business Address
Mr. MICHAEL RICHARD SAMPSON LAT, ATC
61 N PLAINS INDUSTRIAL RD
WALLINGFORD, CT 06492-5841
Phone number: 860-805-7259
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Mailing Address
Mr. MICHAEL RICHARD SAMPSON LAT, ATC
449 WALNUT TREE HILL RD
SHELTON, CT 06484-2046
Phone number: 203-395-6993
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