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1952898470
PAYNE MATTHIESEN ALEXANDER
DUDLEY, MA
NPI
1952898470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 3089)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
PAYNE MATTHIESEN ALEXANDER ATC
114 CENTER RD
DUDLEY, MA 01571-6310
Phone number: 508-213-2240
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Mailing Address
PAYNE MATTHIESEN ALEXANDER ATC
114 CENTER RD
DUDLEY, MA 01571-6310
Phone number:
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