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Individual
JESSE TOWNSEND
Active
Individual
JESSE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001776A
PA
Other
Enumeration date
10/20/2005
Last updated
03/10/2014
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