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1871017061
DIANDRA GILLIS
WINTHROP, MA
NPI
1871017061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 3412)
Enumeration Date
2017-07-28
Last Update Date
2021-10-09
Business Address
DIANDRA GILLIS
53 PARK AVE
WINTHROP, MA 02152-2559
Phone number: 617-230-2275
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Mailing Address
DIANDRA GILLIS
53 PARK AVE
WINTHROP, MA 02152-2559
Phone number:
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