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Individual

MR. JOHN JACOB TRUNDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
2006 WORTHINGTON RD, GREENVILLE, NC 27858-8377
(252) 756-3440
Mailing address
611 CORBETT ST, WINTERVILLE, NC 28590-8659
(919) 943-0091

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3075
NC

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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