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1356486773
KEITH RUPP
DERRY, NH
NPI
1356486773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NH 0255)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Mr. KEITH RUPP ATC
85 STONEGATE LN
DERRY, NH 03038-2569
Phone number: 603-759-8588
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Mailing Address
Mr. KEITH RUPP ATC
420 S. MAIN ST
NASHUA, NH 03060-5086
Phone number: 603-897-8616
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