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Individual

DANIEL GILFEATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2801 W BANCROFT ST, TOLEDO, OH 43606-3328
(845) 430-5640
Mailing address
595 CONIFER LN, KINGSTON, NY 12401-1803
(845) 430-5640

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003154
NY
2255A2300X
Athletic Trainer
Primary
AT. 004994
OH

Other

Enumeration date
08/23/2016
Last updated
08/23/2016
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