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Individual
MICHAEL JON DOLTON
Active
Individual
MICHAEL JON DOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017986-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/10/2019
Last updated
10/10/2019
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