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1457637928
MATTHEW JAMES BAIN
COLCHESTER, VT
NPI
1457637928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0106915)
Enumeration Date
2011-10-28
Last Update Date
2022-06-07
Business Address
MATTHEW JAMES BAIN ATC, PES, SMTC, MDNC
186 JOEY DR
COLCHESTER, VT 05446-3915
Phone number: 303-909-9489
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Mailing Address
MATTHEW JAMES BAIN ATC, PES, SMTC, MDNC
186 JOEY DR
COLCHESTER, VT 05446-3915
Phone number: 303-909-9489
Copy
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