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1770001307
STEVEN LARAIA
BROCKTON, MA
NPI
1770001307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2702)
Enumeration Date
2017-09-04
Last Update Date
2017-09-04
Business Address
STEVEN LARAIA LAT, ATC, CSCS, EMT
680 CENTRE STREET
BROCKTON, MA 02302
Phone number: 508-941-7000
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Mailing Address
STEVEN LARAIA LAT, ATC, CSCS, EMT
26 LANGLEY ROAD
BRIGHTON, MA 02135
Phone number: 774-766-8418
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