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Individual
JOHN PALMER
Active
Individual
JOHN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000177-1
NY
2255A2300X
Athletic Trainer
Primary
25MT00103300
NJ
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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