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Individual
MR. LEE DAVID KUNTZ
Active
Individual
MR. LEE DAVID KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 000570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT.000570
LICENSE NUMBER
OH
01
—
RT000156A
LICENSE NUMBER
PA
Enumeration date
03/12/2007
Last updated
07/08/2007
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