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Individual
MR. JASON RONALD EDSALL
Active
Individual
MR. JASON RONALD EDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LAT, ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1102020008
PA
2255A2300X
Athletic Trainer
RT004414
PA
Other
Enumeration date
03/23/2007
Last updated
03/17/2018
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