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Individual

MICHAEL JOHN CHESTERFIELD

Active
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Individual

MICHAEL JOHN CHESTERFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004383
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RT004383
COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIR
PA
Enumeration date
12/08/2014
Last updated
12/08/2014
About Stedi
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