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1689601890
BRIAN MICHAEL FITZGERALD
BOSTON, MA
NPI
1689601890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 71)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Mr. BRIAN MICHAEL FITZGERALD BSN, ATC, LAT
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-6534
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Mailing Address
Mr. BRIAN MICHAEL FITZGERALD BSN, ATC, LAT
92 SANBORN AVE
WEST ROXBURY, MA 02132-3837
Phone number: 617-327-0730
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