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1568084192
JONATHAN DAVIS
NEWINGTON, CT
NPI
1568084192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
JONATHAN DAVIS ATC
21 ELTON DR
NEWINGTON, CT 06111-2606
Phone number: 860-388-7282
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Mailing Address
JONATHAN DAVIS ATC
21 ELTON DR
NEWINGTON, CT 06111-2606
Phone number:
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