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1982739207
TANYA MARIE BARBOSA
CAMBRIDGE, MA
NPI
1982739207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1717)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- TANYA MARIE BARBOSA ATC
77 MASSACHUSETTS AVE MIT BOX 397404
CAMBRIDGE, MA 02139-4301
Phone number: 617-253-4908
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Mailing Address
-- TANYA MARIE BARBOSA ATC
39 RIDGECREST TER APT 10
WEST ROXBURY, MA 02132-5254
Phone number: 401-996-3317
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