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1821556390
ALEXANDER TAITE CARPENTER
SOUTH BURLINGTON, VT
NPI
1821556390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0133877)
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
ALEXANDER TAITE CARPENTER L-ATC
2069 WILLISTON ROAD AP #2
SOUTH BURLINGTON, VT 05403
Phone number: 802-497-3240
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Mailing Address
ALEXANDER TAITE CARPENTER L-ATC
2069 WILLISTON ROAD AP #2
SOUTH BURLINGTON, VT 05403
Phone number:
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