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Individual

GRAHAM JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC, CSCS

Contact information

Practice address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
(919) 923-1365
Mailing address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2339
NC

Other

Enumeration date
03/05/2019
Last updated
03/05/2019
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