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1720455363
ELISE FENGLER
MEDFORD, MA
NPI
1720455363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-08-31
Last Update Date
2023-01-20
Business Address
ELISE FENGLER
161 COLLEGE AVE
MEDFORD, MA 02155-5593
Phone number: 617-627-5102
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Mailing Address
ELISE FENGLER
123 ORCHARD ST APT 4
SOMERVILLE, MA 02144-3036
Phone number: 609-610-1607
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