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Individual
JACK FAMIGLIO
Active
Individual
JACK FAMIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13768
FL
2255A2300X
Athletic Trainer
ATH.200458
LA
Other
Enumeration date
08/17/2015
Last updated
10/27/2021
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