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1487780318
ANDREA JAYNE ROURKE
WALTHAM, MA
NPI
1487780318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 664)
Enumeration Date
2007-02-26
Last Update Date
2008-01-21
Business Address
Ms. ANDREA JAYNE ROURKE ATC
333 FOREST ST GANN ACADEMY
WALTHAM, MA 02452-4717
Phone number: 781-642-6800
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Mailing Address
Ms. ANDREA JAYNE ROURKE ATC
90 QUINCY SHORE DR #819
QUINCY, MA 02171-2900
Phone number: 617-842-4205
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