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Individual
CALTON HALL JR.
Active
Individual
CALTON HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002070
VA
363AS0400X
Surgical Physician Assistant
Primary
0010-12695
NC
Other
Enumeration date
04/10/2015
Last updated
04/20/2023
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