Individual
JOHN ROBERT BRULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
86 OLD WARD BRIDGE RD, PLYMOUTH, NH 03264-1244
(508) 353-9207
Mailing address
22 MERRILL WOOD DR, HOLDERNESS, NH 03245-5115
(508) 353-9207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0421
NH
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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