JEPTHE SOULOUQUE

WEST ROXBURY, MA
NPI1306446489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  30544)
Enumeration Date2020-10-28
Last Update Date2020-10-28
Business Address
JEPTHE SOULOUQUE MS LAT ATC
235 BAKER ST
WEST ROXBURY, MA 02132-4395
Phone number: 617-469-8055
Mailing Address
JEPTHE SOULOUQUE MS LAT ATC
48 CROSS ST
EVERETT, MA 02149-1820
Phone number: 617-913-6113
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