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Individual

JEFF M SPAULDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
425 MITCHELL AVE, PORT ORCHARD, WA 98366-4114
(253) 310-7953
Mailing address
425 MITCHELL AVE, PORT ORCHARD, WA 98366-4114
(360) 874-5766

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160571096
WA

Other

Enumeration date
03/22/2020
Last updated
03/22/2020
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