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1760995815
TYLER KRETSCHMAR
SMITHFIELD, RI
NPI
1760995815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI AT00449)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
TYLER KRETSCHMAR ATC
1150 DOUGLAS PIKE
SMITHFIELD, RI 02917-1291
Phone number: 401-232-6530
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Mailing Address
TYLER KRETSCHMAR ATC
6 DEER CREEK RUN
SOMERSWORTH, NH 03878-1616
Phone number: 603-817-4252
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