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1780152025
MATTHEW CARROLL
STORRS, CT
NPI
1780152025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 1406)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
MATTHEW CARROLL MS, ATC
505 JIM CALHOUN WAY
STORRS, CT 06268-1728
Phone number: 860-208-3490
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Mailing Address
MATTHEW CARROLL MS, ATC
505 JIM CALHOUN WAY
STORRS, CT 06268-1728
Phone number:
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