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Individual

MR. BRENT JOSEPH HAMULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS

Contact information

Practice address
144 KENRICK ST APT 11, BRIGHTON, MA 02135-3837
(617) 519-1885
Mailing address
144 KENRICK ST APT 11, BRIGHTON, MA 02135-3837
(617) 519-1885

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000347
NY
2255A2300X
Athletic Trainer
Primary
1225
MA

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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