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1669614699
MATTHEW PAUL BRUCKER
MIDDLETON, MA
NPI
1669614699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MA 1841)
Enumeration Date
2009-04-06
Last Update Date
2009-04-06
Business Address
MATTHEW PAUL BRUCKER ATC, MED
30 LOG BRIDGE RD
MIDDLETON, MA 01949-2252
Phone number: 518-222-9049
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Mailing Address
MATTHEW PAUL BRUCKER ATC, MED
30 LOG BRIDGE RD
MIDDLETON, MA 01949-2252
Phone number: 518-222-9049
Copy
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