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Individual
MATHEW J AN
Active
Individual
MATHEW J AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A01229
MD
2255A2300X
Athletic Trainer
AL3538
FL
Other
Enumeration date
06/30/2014
Last updated
05/19/2021
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