CHARLA LARISSA BOURANIS

SWAMPSCOTT, MA
NPI1669889325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  1966)
Enumeration Date2014-07-15
Last Update Date2014-07-15
Business Address
-- CHARLA LARISSA BOURANIS ME.d, ATC
19 LINCOLN HOUSE PT
SWAMPSCOTT, MA 01907-2707
Phone number: 781-854-1515
Mailing Address
-- CHARLA LARISSA BOURANIS ME.d, ATC
19 LINCOLN HOUSE PT
SWAMPSCOTT, MA 01907-2707
Phone number: 781-854-1515
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