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Individual
GARY NOTKIN
Active
Individual
GARY NOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA61703
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/17/2016
Last updated
07/11/2023
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