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Individual

JOHN JUNIET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C., L.A.T.

Contact information

Practice address
228 ELM ST, MERIDEN, CT 06450-5808
(203) 499-8301
Mailing address
228 ELM STREET, MERIDEN, CT 06450
(203) 499-8301

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1215
CT
405300000X
Prevention Professional
1215
CT

Other

Enumeration date
04/12/2017
Last updated
05/23/2022
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