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1558758664
BRIAN MICHAEL DAIGNEAULT
PROVIDENCE, RI
NPI
1558758664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: RI AT00091)
Enumeration Date
2015-04-16
Last Update Date
2015-04-16
Business Address
BRIAN MICHAEL DAIGNEAULT ATC
229 HOPE ST BOX 1933
PROVIDENCE, RI 02912-0001
Phone number: 401-863-3851
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Mailing Address
BRIAN MICHAEL DAIGNEAULT ATC
229 HOPE ST BOX 1933
PROVIDENCE, RI 02912-0001
Phone number: 401-863-3851
Copy
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