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Individual
MR. SCOTT RODNEY GALLUP JR.
Active
Individual
MR. SCOTT RODNEY GALLUP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006678
PA
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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