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1437650181
MATTHEW LEEDS
ELLINGTON, CT
NPI
1437650181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000801)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
MATTHEW LEEDS MS, ATC, LAT, CMP
12 MAIN ST STE 7
ELLINGTON, CT 06029-3361
Phone number: 860-872-7500
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Mailing Address
MATTHEW LEEDS MS, ATC, LAT, CMP
51 MEADOW BROOK RD APT 91
ELLINGTON, CT 06029-2230
Phone number:
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