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1790259299
MICHAEL T WATSON
BRENTWOOD, NY
NPI
1790259299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003789-1)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
MICHAEL T WATSON
129 WESTWOOD DR
BRENTWOOD, NY 11717-5715
Phone number: 631-404-0092
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Mailing Address
MICHAEL T WATSON
129 WESTWOOD DR
BRENTWOOD, NY 11717-5715
Phone number: 631-404-0092
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