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1861624041
JENNISON VINCENT
BOSTON, MA
NPI
1861624041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1954)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- JENNISON VINCENT ATC, LAT
285 BABCOCK ST
BOSTON, MA 02215-1003
Phone number: 617-696-7663
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Mailing Address
-- JENNISON VINCENT ATC, LAT
70 ALLSTON ST
ALLSTON, MA 02134-5001
Phone number:
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