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Individual
ALLAN DELVALLE JR.
Active
Individual
ALLAN DELVALLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
01915
MA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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