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Individual

STEPHEN DOUGLAS DEFRANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATHLETIC TRAINER

Contact information

Practice address
101 ACADEMY DR, MASSACHUSETTS MARITIME ACADEMY, BUZZARDS BAY, MA 02532-3405
(781) 337-7500
Mailing address
20 SEAL COVE RD, PLYMOUTH, MA 02360-2083
(508) 224-9199

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1536
MA

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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