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Individual

JARED WILLIAM DEGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT ATC

Contact information

Practice address
1 CIVIC CENTER PLZ, HARTFORD, CT 06103-1504
(484) 336-9956
Mailing address
65 BERNE RD, HAMBURG, PA 19526-8910
(484) 336-9956

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
54.
2255A2300X
Athletic Trainer
Primary
54.001502
CT

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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