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Individual

KATLYN FENUCCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 MAIN ST, WORCESTER, MA 01610
(508) 793-7378
Mailing address
28 GROVE ST APT C, MILLBURY, MA 01527-2682

Taxonomy

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

Other

Enumeration date
08/05/2017
Last updated
04/02/2022
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