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Individual

JOSEPH M NOPHUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1333 N FRONT ST, PHILADELPHIA, PA 19122-4603
(610) 656-9038
Mailing address
215 ROBIN HOOD LN, ASTON, PA 19014-1923
(610) 656-9038

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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