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1700964129
KIMBERLY ASHTON WISE
BOSTON, MA
NPI
1700964129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1465)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
Mrs. KIMBERLY ASHTON WISE atc
304 DOCKSER HALL
BOSTON, MA 02115
Phone number: 617-373-2664
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Mailing Address
Mrs. KIMBERLY ASHTON WISE atc
480 LOG RD
SMITHFIELD, RI 02917-1014
Phone number: 401-349-4251
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