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Individual

MARK MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7 LINNEA LN, NORTH CHILI, NY 14514-9725
(585) 314-5638
Mailing address
7 LINNEA LANE, NORTHE CHILI, NY 14514

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67002066
NY

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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