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1881705085
MARK JAMES DOUGHTIE
MEDFORD, MA
NPI
1881705085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 10)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. MARK JAMES DOUGHTIE ATC
161 COLLEGE AVE TUFTS UNIVERSITY - SOUSENS GYM
MEDFORD, MA 02155
Phone number: 617-627-5145
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Mailing Address
Mr. MARK JAMES DOUGHTIE ATC
50 MAPLEWOOD RD
STOUGHTON, MA 02072
Phone number: 781-344-1724
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