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Individual
PROF. MATTHEW MILLS
Active
Individual
PROF. MATTHEW MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LAT, ATC, CHSE
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1393
CT
2255A2300X
Athletic Trainer
Primary
2212
MA
Other
Enumeration date
06/11/2011
Last updated
06/10/2024
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