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Individual

MS. CHRISTINE ANN WEAVING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MEDATC

Contact information

Practice address
975 FARMINGTON AVE, BRISTOL, CT 06010-3929
(860) 589-3587
(860) 589-1872
Mailing address
60 BIRDSALL ST, WINSTED, CT 06098-1902
(860) 379-3451

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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