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1407405129
KEITH ANDREW MUTCH
TORRINGTON, CT
NPI
1407405129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
KEITH ANDREW MUTCH
699 WINSTED RD
TORRINGTON, CT 06790-2934
Phone number: 860-626-1114
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Mailing Address
KEITH ANDREW MUTCH
699 WINSTED RD
TORRINGTON, CT 06790-2934
Phone number: 860-626-1114
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