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Individual
ALEXA P BEAUMONT
Active
Individual
ALEXA P BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03299
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000050675
BOC CERTIFICATION NUMBER
—
Enumeration date
07/12/2020
Last updated
11/02/2022
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