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Individual

MARK WEBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
100 MORRISSEY BLVD, BOSTON, MA 02125-3300
(617) 287-5563
Mailing address
37 WINDCHIME DR, MANSFIELD, MA 02048-2933
(774) 266-6383

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2129
MA

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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