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1790045748
MARK HANSBERRY
WALTHAM, MA
NPI
1790045748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 19972)
Enumeration Date
2012-05-24
Last Update Date
2012-05-24
Business Address
-- MARK HANSBERRY
564 MAIN ST
WALTHAM, MA 02452-5516
Phone number: 781-894-8880
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Mailing Address
-- MARK HANSBERRY
564 MAIN ST
WALTHAM, MA 02452-5516
Phone number: 781-894-8880
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