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1801208855
KELVIN PHAN
SPRINGFIELD, MA
NPI
1801208855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2948)
Enumeration Date
2014-05-27
Last Update Date
2017-01-13
Business Address
-- KELVIN PHAN MSEd, ATC, PES
263 ALDEN ST
SPRINGFIELD, MA 01109-3707
Phone number: 713-269-0120
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Mailing Address
-- KELVIN PHAN MSEd, ATC, PES
194 LACONIA ST
SPRINGFIELD, MA 01129-1111
Phone number:
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