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1447899380
WALTER EDWARD BROSSEAU
GOLDSBORO, NC
NPI
1447899380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-12-23
Last Update Date
2019-12-23
Business Address
Mr. WALTER EDWARD BROSSEAU
1299 PARKWAY DR STE D
GOLDSBORO, NC 27534-3491
Phone number: 919-394-0021
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Mailing Address
Mr. WALTER EDWARD BROSSEAU
1299 PARKWAY DR STE D
GOLDSBORO, NC 27534-3491
Phone number: 919-394-0021
Copy
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