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Individual
ERIN NICOLE RYSANEK
Active
Individual
ERIN NICOLE RYSANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, MS, PA, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
09/14/2026
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