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Individual
KEMOY DAVIDSON
Active
Individual
KEMOY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, NREMT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
641258
NJ
2255A2300X
Athletic Trainer
Primary
25MT00283300
NJ
Other
Enumeration date
02/09/2021
Last updated
02/27/2021
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