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Individual
JUSTIN DAVID DUMONT
Active
Individual
JUSTIN DAVID DUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OT016687
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0102205969
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OT016687
PA
Other
Enumeration date
06/30/2015
Last updated
07/10/2020
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