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1265568539
RICHARD MARK LAURSEN
BOSTON, MA
NPI
1265568539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1091)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- RICHARD MARK LAURSEN ATC
285 BABCOCK ST
BOSTON, MA 02215-1003
Phone number: 617-353-2476
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Mailing Address
-- RICHARD MARK LAURSEN ATC
635 COMMONWEALTH AVE
BOSTON, MA 02215-1605
Phone number: 617-353-7570
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