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1316527823
BENJAMIN ST.MARTIN
FAIRFIELD, CT
NPI
1316527823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 822)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
BENJAMIN ST.MARTIN MS, LAT
5151 PARK AVE
FAIRFIELD, CT 06825-1000
Phone number: 203-396-8179
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Mailing Address
BENJAMIN ST.MARTIN MS, LAT
142 CAMBRIDGE ST
STRATFORD, CT 06614-4711
Phone number: 860-508-6332
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