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Individual

MR. DAVID A DONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
520 HARTFORD TPKE STE I, VERNON, CT 06066-5043
(860) 870-8272
Mailing address
101 SOUTH ST APT 19, VERNON, CT 06066-4431
(860) 810-9137

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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