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Individual

KING-JEFFREY DANSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
56 FRAMINGHAM RD, MARLBOROUGH, MA 01752-3260
(978) 382-1545
(508) 481-6680
Mailing address
56 FRAMINGHAM RD, MARLBOROUGH, MA 01752-3260
(978) 382-1545
(508) 481-6680

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MTN980817178
BCBS
MA
Enumeration date
07/15/2020
Last updated
07/15/2020
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