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Individual

JONATHAN GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
4403 FREDERICK AVE, BALTIMORE, MD 21229-4102
(410) 644-3300
(410) 900-1210
Mailing address
4403 FREDERICK AVE, BALTIMORE, MD 21229-4102
(410) 644-3300
(410) 900-1210

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00142
MD

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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