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1487863932
MARIANN INGRAHAM
CHICOPEE, MA
NPI
1487863932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 518)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mrs. MARIANN INGRAHAM ATC,LAT
291 SPRINGFIELD ST
CHICOPEE, MA 01013-2837
Phone number: 413-265-2318
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Mailing Address
Mrs. MARIANN INGRAHAM ATC,LAT
36 EASTON ST
GRANBY, MA 01033-9518
Phone number: 413-467-3532
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