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Individual
EDISSON CANTOR
Active
Individual
EDISSON CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
FL
Enumeration date
09/15/2017
Last updated
09/15/2017
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