Individual
EVAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PATRIOT PL, FOXBORO, MA 02035-1374
(517) 425-9265
Mailing address
1 PATRIOT PL, FOXBORO, MA 02035-1374
(517) 425-9265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2182
MA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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