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Individual
ANDREW JAMES OXENREIDER
Active
Individual
ANDREW JAMES OXENREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0064 59366-02
AETNA
—
Enumeration date
08/10/2011
Last updated
08/10/2011
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