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Individual

MATTHEW DEGEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS

Contact information

Practice address
70 MEMORIAL PKWY, RANDOLPH, MA 02368-4506
(781) 961-6220
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2363
MA

Other

Enumeration date
02/02/2016
Last updated
02/02/2016
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