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1558403402
JASON BRADLEY KITCHENS
NEW BRITAIN, CT
NPI
1558403402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000267)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mr. JASON BRADLEY KITCHENS ATC, LAT
1615 STANLEY ST DEPARTMENT OF PHYSICAL EDUCATION & HUMAN PERFORMANCE
NEW BRITAIN, CT 06050-2439
Phone number: 203-417-7455
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Mailing Address
Mr. JASON BRADLEY KITCHENS ATC, LAT
1670 FARMINGTON AVE UNIT 6
UNIONVILLE, CT 06085-1229
Phone number: 203-417-7455
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