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1235915570
JONATHAN KOTREDES
WASHINGTON, DC
NPI
1235915570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4359)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
JONATHAN KOTREDES ATC
1500 S CAPITOL ST SE
WASHINGTON, DC 20003-3599
Phone number: 202-302-9255
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Mailing Address
JONATHAN KOTREDES ATC
6393 BRANCHWOOD DR
LAKE WORTH, FL 33467-7378
Phone number: 207-951-1702
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