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1588691562
PAUL R SURETTE
ROCKPORT, ME
NPI
1588691562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT249)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mr. PAUL R SURETTE L,A.T.C.
6 GLEN COVE DRIVE
ROCKPORT, ME 04856
Phone number: 207-593-5547
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Mailing Address
Mr. PAUL R SURETTE L,A.T.C.
252 BEMIS RD
CARMEL, ME 04419-3034
Phone number: 207-659-1297
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