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Individual
WALTER TRISDALE
Active
Individual
WALTER TRISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2152
MA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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