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1316456676
KELLY CORSO
NEW BRITAIN, CT
NPI
1316456676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CT 000690)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
KELLY CORSO ATC
642 BLACK ROCK AVE
NEW BRITAIN, CT 06052-1037
Phone number: 860-224-6010
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Mailing Address
KELLY CORSO ATC
59 THORPE AVE
WALLINGFORD, CT 06492-1914
Phone number: 203-627-8263
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