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Individual
MR. TERRANCE GERARD NOONAN
Active
Individual
MR. TERRANCE GERARD NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
00123
IA
2255A2300X
Athletic Trainer
Primary
00123
IA
Other
Enumeration date
06/09/2006
Last updated
07/31/2008
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