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Individual
MRS. HEATHER RUTH HALSETH
Active
Individual
MRS. HEATHER RUTH HALSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/R
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1006886
OR
Other
Enumeration date
07/04/2006
Last updated
03/08/2023
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