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1518326222
JEREMIAH FRASER
BIRMINGHAM, AL
NPI
1518326222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2753)
Enumeration Date
2016-02-23
Last Update Date
2024-01-26
Business Address
JEREMIAH FRASER ATC
608 13TH STREET S
BIRMINGHAM, AL 35294-2650
Phone number: 315-506-3348
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Mailing Address
JEREMIAH FRASER ATC
608 13TH ST
BIRMINGHAM, AL 35228-2430
Phone number: 315-506-3348
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