Individual
MR. SANJAY GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 CONANT ST, MANCHESTER, NH 03102-4308
(603) 851-8635
Mailing address
170 CONANT ST, MANCHESTER, NH 03102-4308
(603) 851-8635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
09GGS98291
NH
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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