Individual
JASON MIGUEL AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Mailing address
1209 W 26TH ST, ERIE, PA 16508-1519
(814) 806-4762
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00429101
NY
2255A2300X
Athletic Trainer
AT006176
OH
2255A2300X
Athletic Trainer
Primary
RTO000488
PA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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