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1659038495
MAYNOR ANTONIO GRIJALVA
LYNN, MA
NPI
1659038495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 3877)
Enumeration Date
2021-11-28
Last Update Date
2024-04-04
Business Address
Mr. MAYNOR ANTONIO GRIJALVA MS, LAT, ATC
1000 WESTERN AVE
LYNN, MA 01905-2655
Phone number: 978-880-5178
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Mailing Address
Mr. MAYNOR ANTONIO GRIJALVA MS, LAT, ATC
452 WESTERN AVE
LYNN, MA 01904-3315
Phone number: 617-650-4854
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