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1760896799
CHARLES SPENCER
SCARBOROUGH, ME
NPI
1760896799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT520)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
-- CHARLES SPENCER ATC, EMT
125 BURNHAM RD
SCARBOROUGH, ME 04074-9156
Phone number: 207-730-3002
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Mailing Address
-- CHARLES SPENCER ATC, EMT
125 BURNHAM RD
SCARBOROUGH, ME 04074-9156
Phone number: 207-730-3002
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