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Individual
ZACHERY DALE STANDIFORD
Active
Individual
ZACHERY DALE STANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
324095
LA
2255A2300X
Athletic Trainer
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2018
Last updated
08/12/2020
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