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1386619013
KIM A BISSONNETTE
KINGSTON, RI
NPI
1386619013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: RI 67)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
MR. KIM A BISSONNETTE MA ATC CSCS
3 KEANEY RD SUITE 1
KINGSTON, RI 02881-1111
Phone number: 401-874-5230
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Mailing Address
MR. KIM A BISSONNETTE MA ATC CSCS
43 GREENWOOD DR
WAKEFIELD, RI 02879-1512
Phone number: 401-874-5230
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