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Individual

DR. DAVID MATTHEW BAZETT-JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, AT, ATC, CSCS

Contact information

Practice address
2801 W BANCROFT ST # MS 119, TOLEDO, OH 43606-3328
(419) 530-4241
Mailing address
2809 N 76TH ST, APT #1, MILWAUKEE, WI 53222-5076
(414) 727-2807

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36001202A
IN
2255A2300X
Athletic Trainer
945-039
WI
2255A2300X
Athletic Trainer
Primary
AT005694
OH

Other

Enumeration date
02/15/2007
Last updated
12/14/2018
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