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Individual
CRYSTAL MONIQUE FIX
Active
Individual
CRYSTAL MONIQUE FIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0957
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0957
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
01
—
1022867
NATIONAL ATHLETIC TRAINERS ASSOCIATION
—
01
—
BOC105800
BOARD OF CERTIFICATION
—
Enumeration date
02/09/2012
Last updated
02/10/2016
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