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1700160041
ANSEL GARVEY
WORCESTER, MA
NPI
1700160041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2235)
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
-- ANSEL GARVEY
1 COLLEGE ST
WORCESTER, MA 01610-2322
Phone number: 508-793-2627
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Mailing Address
-- ANSEL GARVEY
15 WIESER DR
WESTFIELD, MA 01085-5130
Phone number:
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