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1114434032
DAVID JOHN MCDERMOTT
CAMP LEJUENE, NC
NPI
1114434032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT623)
Enumeration Date
2017-12-30
Last Update Date
2019-04-26
Business Address
DAVID JOHN MCDERMOTT ATC
BLDG. H1 JULIAN C SMITH RD.,
CAMP LEJUENE, NC 28547
Phone number: 207-316-7134
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Mailing Address
DAVID JOHN MCDERMOTT ATC
19 ST JOSEPH ST APT 102
FORT KENT, ME 04743-1172
Phone number: 207-316-7134
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