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Individual
MR. JEFFREY DONALD SHIELDS
Active
Individual
MR. JEFFREY DONALD SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,MED
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000334A
PA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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