Individual
MR. JAMES ALLEN GENTRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
901 W BAKER AVE, FULLERTON, CA 92832-3107
(714) 926-6395
Mailing address
901 W BAKER AVE, FULLERTON, CA 92832-3107
(714) 926-6395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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