Individual
MR. JASON DUANE ASDOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
96 WINDING WAY, SOUTH PORTLAND, ME 04106-6843
(207) 329-5826
Mailing address
96 WINDING WAY, SOUTH PORTLAND, ME 04106-6843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT280
ME
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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