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Individual
MR. DOUGLAS PAUL GANASSI
Active
Individual
MR. DOUGLAS PAUL GANASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED - EX. SCI., ATC,
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT000369
GA
2255A2300X
Athletic Trainer
Primary
RT002222A
PA
Other
Enumeration date
06/11/2012
Last updated
12/02/2013
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