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1326528852
ED BLAIR
STORRS, CT
NPI
1326528852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000639)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
ED BLAIR ATC
2111 HILLSIDE RD UNIT 3204
STORRS, CT 06269-9179
Phone number: 860-486-3046
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Mailing Address
ED BLAIR ATC
2111 HILLSIDE RD UNIT 3204
STORRS, CT 06269-9179
Phone number: 860-486-3046
Copy
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