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Individual
JACK JEROME BARRON
Active
Individual
JACK JEROME BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PERSONAL TRAINER
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
NULL
133N00000X
Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
NULL
174H00000X
Health Educator
Primary
—
NULL
2251S0007X
Sports Physical Therapist
—
NULL
2255A2300X
Athletic Trainer
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
246Z00000X
Other Specialist/Technologist
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
10/25/2010
Last updated
07/18/2011
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