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Individual

MARY MAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
240 EAST ST STE C, PLAINVILLE, CT 06062-2935
(860) 793-6882
Mailing address
240 EAST ST STE C, PLAINVILLE, CT 06062-2935
(860) 793-6882

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
932
CT

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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