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1275524266
TATE STEPHEN ERICKSON
KEENE, NH
NPI
1275524266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NH 298)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Mr. TATE STEPHEN ERICKSON ATC
580 COURT ST
KEENE, NH 03431-1715
Phone number: 603-354-5454
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Mailing Address
Mr. TATE STEPHEN ERICKSON ATC
573 WEST ST
KEENE, NH 03431-2809
Phone number: 603-903-0047
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