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Individual

MR. JEROME MCKEIVER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CEAS I

Contact information

Practice address
1758 ALLENTOWN RD, LANSDALE, PA 19446-4060
(855) 215-2477
Mailing address
10 MERCER PL, OCEAN CITY, NJ 08226-3407

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/14/2014
Last updated
05/14/2014
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