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Individual
ALEX BRUGGEMAN
Active
Individual
ALEX BRUGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
UP372035
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UP372035
OH
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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