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1801850615
JON R. SMITH
BINGHAMTON, NY
NPI
1801850615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000061-1)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
Mr. JON R. SMITH ATC
907 UPPER FRONT ST
BINGHAMTON, NY 13905-1328
Phone number: 607-778-5050
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Mailing Address
Mr. JON R. SMITH ATC
162 BEVIER ST
BINGHAMTON, NY 13904-1015
Phone number: 607-727-2498
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