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1508136045
MICHELLE C. LEWIS
BOSTON, MA
NPI
1508136045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2211)
Enumeration Date
2011-12-30
Last Update Date
2011-12-30
Business Address
-- MICHELLE C. LEWIS ATC
285 BABCOCK ST
BOSTON, MA 02215-1003
Phone number: 617-353-2746
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Mailing Address
-- MICHELLE C. LEWIS ATC
116 WASHINGTON ST #53
BRIGHTON, MA 02135-4302
Phone number: 781-799-2254
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