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1659624526
MARY K. BUTLAK
SYRACUSE, NY
NPI
1659624526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002291-1)
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
Ms. MARY K. BUTLAK ATC
231 WALTON ST STE 200
SYRACUSE, NY 13202-1887
Phone number: 315-478-0380
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Mailing Address
Ms. MARY K. BUTLAK ATC
219 E WILLIAMS ST
WATERLOO, NY 13165-1510
Phone number:
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