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1265577100
MARK DAVID LEGACY
PLYMOUTH, NH
NPI
1265577100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NH 0003)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Mr. MARK DAVID LEGACY MEd, ATC
17 HIGH ST # 32 MSC # PE CENTER PLYMOUTH STATE UNIVERSITY
PLYMOUTH, NH 03264-1595
Phone number: 603-535-2757
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Mailing Address
Mr. MARK DAVID LEGACY MEd, ATC
17 HIGH ST # 32 MSC # PE CENTER PLYMOUTH STATE UNIVERSITY
PLYMOUTH, NH 03264-1595
Phone number: 603-535-2757
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