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Individual
JOHN SALVATORE PASCUZZI JR.
Active
Individual
JOHN SALVATORE PASCUZZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, OTC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/10/2021
Last updated
05/10/2021
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