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Individual

ANTHONY J ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS

Contact information

Practice address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 775-2937
Mailing address
152 PINE SPRINGS DR, TICONDEROGA, NY 12883-2516
(518) 585-3275

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 001855
NY

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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