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Individual

ALEXIS MIEDICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(603) 560-2232
Mailing address
4 QUAIL RUN RD, WINDHAM, NH 03087-1257

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
U2345020504
TN
Enumeration date
09/05/2019
Last updated
09/05/2019
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