DONOVAN KELLY

BROCKTON, MA
NPI1427611722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  3125)
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
DONOVAN KELLY LAT, ATC
110 LIBERTY ST
BROCKTON, MA 02301-5674
Phone number: 508-565-3055
Mailing Address
DONOVAN KELLY LAT, ATC
1010 MIDDLE ST APT 6
WEYMOUTH, MA 02188-3958
Phone number: 802-299-8250
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