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Individual

MR. JAMES DANIEL SCANLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, NREMT

Contact information

Practice address
24 PROVIDENCE RD, GRAFTON, MA 01519-1178
(508) 839-5425
Mailing address
16 NORMAN LN, DUDLEY, MA 01571-5740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2589
MA

Other

Enumeration date
10/05/2014
Last updated
10/05/2014
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