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1487641031
LAWRENCE E VENIS
BOSTON, MA
NPI
1487641031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 313)
Enumeration Date
2005-09-29
Last Update Date
2011-12-13
Business Address
Mr. LAWRENCE E VENIS ATC, LAT
925 COMMONWEALTH AVE
BOSTON, MA 02215-1394
Phone number: 617-353-7326
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Mailing Address
Mr. LAWRENCE E VENIS ATC, LAT
370 OLD LANCASTER RD
SUDBURY, MA 01776-2032
Phone number: 617-353-7326
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