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Individual
JONATHAN PARKER
Active
Individual
JONATHAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021474
GA
246ZX2200X
Orthopedic Assistant
22-1115
GA
Other
Enumeration date
07/07/2015
Last updated
04/19/2023
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