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Individual
GINA E FALZONE
Active
Individual
GINA E FALZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197
N/A
MA
Enumeration date
01/15/2020
Last updated
01/15/2020
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