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Individual
KIP PATTERSON
Active
Individual
KIP PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00056900
NJ
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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