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1629020516
STEVEN M MEDEIROS
DORCHESTER, MA
NPI
1629020516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1075)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mr. STEVEN M MEDEIROS ATC, LAT
150 MORRISSEY BLVD BC HIGH
DORCHESTER, MA 02125-3313
Phone number: 617-474-5061
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Mailing Address
Mr. STEVEN M MEDEIROS ATC, LAT
29B BROAD ST
MEDWAY, MA 02053-1120
Phone number: 508-533-3724
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