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Individual
MR. MICHAEL ANTHONY GALVAN JR.
Active
Individual
MR. MICHAEL ANTHONY GALVAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096-001139
LICENSE
IL
Enumeration date
09/07/2005
Last updated
03/02/2024
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