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Individual

MS. ALEXANDRA M BLENIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-2746
Mailing address
15 BEAUMONT AVE, NEWTON, MA 02460-2313
(617) 527-9611

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2328
MA

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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