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Individual

MR. JOHN RICHARD WORLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(267) 339-3731
Mailing address
821 WYNGATE RD, SOMERDALE, NJ 08083-2414
(856) 627-1759

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MTOOO47700
NJ
2255A2300X
Athletic Trainer
Primary
RT000189A
PA

Other

Enumeration date
10/13/2005
Last updated
07/08/2007
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