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Individual

LUIS FERNANDO ZAMORA PATINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 513-2734
Mailing address
15 CLYDE ST, WILMINGTON, DE 19804-2801
(302) 513-2734

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/05/2021
Last updated
04/05/2021
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