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1245205038
DOMINIC IAN GREENFIELD
GLASTONBURY, CT
NPI
1245205038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 531-039)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Mr. DOMINIC IAN GREENFIELD LAT
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 262-658-7305
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Mailing Address
Mr. DOMINIC IAN GREENFIELD LAT
1805 S 52ND ST
WEST MILWAUKEE, WI 53214-5412
Phone number: 262-951-5908
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