KELVIN PHAN

SPRINGFIELD, MA
NPI1801208855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MA  2948)
Enumeration Date2014-05-27
Last Update Date2017-01-13
Business Address
KELVIN PHAN MSED, ATC, PES
263 ALDEN ST
SPRINGFIELD, MA 01109-3707
Phone number: 713-269-0120
Mailing Address
KELVIN PHAN MSED, ATC, PES
194 LACONIA ST
SPRINGFIELD, MA 01129-1111
Phone number:
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