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Individual

MERCEDES CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
140 COMMONWEALTH AVE, 124 CONTE FORUM, CHESTNUT HILL, MA 02467
(617) 552-4828
(617) 552-2392
Mailing address
349 LINWOOD AVE, NEWTONVILLE, MA 02460-1342
(603) 991-9032

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2641
MA

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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