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Individual
MR. PAUL JEROME CARR JR.
Active
Individual
MR. PAUL JEROME CARR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
18753MD
MD
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
18753MD
MD
2255A2300X
Athletic Trainer
18753MD
MD
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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