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1487648713
NICHOLAS JAY THOMPSON
WATERVILLE, ME
NPI
1487648713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT220)
Enumeration Date
2005-09-01
Last Update Date
2007-07-08
Business Address
Mr. NICHOLAS JAY THOMPSON ATC, CSCS
30 CHASE AVE
WATERVILLE, ME 04901-4624
Phone number: 207-872-4223
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Mailing Address
Mr. NICHOLAS JAY THOMPSON ATC, CSCS
PO BOX 791
WATERVILLE, ME 04903-0791
Phone number: 207-877-9962
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