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Carlos Lamont Hamilton

Specialist/Technologist, Athletic Trainer in Detroit, MI. Individual provider (NPI-1).

NPI number1013471069
StatusActive
Last updated in NPPESJan 24, 2019

Details

NPI
1013471069
Entity type
Individual (NPI-1)
Name
Mr. Carlos Lamont Hamilton
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 24, 2019
Last updated
Jan 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Traineras820269496MIYes

Practice location

927 E Grand Blvd
Detroit, MI 48207-1964

Phone 313-922-0037

Mailing address

20008 Kelly Rd
Harper Woods, MI 48225-1919

Phone 248-761-9083 · Fax 866-906-0570

Other practice locations

929 E Grand Blvd
Detroit, MI 48207-1964

Phone 248-761-9083 · Fax 866-906-0570

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