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1407883382
JEREMIAH THOMAS FOSTER
BOSTON, MA
NPI
1407883382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA AT-76)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mr. JEREMIAH THOMAS FOSTER ATC, C.S.C.S.
360 HUNTINGTON AVE 140 MARINO CENTER
BOSTON, MA 02115-5005
Phone number: 617-373-7766
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Mailing Address
Mr. JEREMIAH THOMAS FOSTER ATC, C.S.C.S.
4 REYNOLDS RD
PEABODY, MA 01960-1613
Phone number: 978-531-9453
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