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Individual

GEORGE POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1350 W 2ND ST, SEYMOUR, IN 47274-2222
(812) 522-4384
Mailing address
928 W 8TH ST, SEYMOUR, IN 47274-1474
(812) 528-3537

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000680A
IN

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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