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1437795879
JOSEPH LEO MAYNARD
WARWICK, RI
NPI
1437795879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
Mr. JOSEPH LEO MAYNARD ATC
70 TURNER ST UNIT 6C
WARWICK, RI 02886-3630
Phone number: 401-474-1742
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Mailing Address
Mr. JOSEPH LEO MAYNARD ATC
70 TURNER ST UNIT 6C
WARWICK, RI 02886-3630
Phone number: 401-474-1742
Copy
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