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Individual
MR. MICHAEL FRANCIS FLEMING JR.
Active
Individual
MR. MICHAEL FRANCIS FLEMING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS,
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT004137
PROVIDER CODE 22
PA
Enumeration date
06/13/2017
Last updated
06/13/2017
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