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Individual

MR. JOSHUA WARREN CANIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
4400 GOLF ACRES DR, BUILDING J. SUITE D, CHARLOTTE, NC 28208-5990
(704) 774-7418
(704) 512-3825
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 774-7418
(704) 512-3825

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1195
NC

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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