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Individual
MEGAN MAWN
Active
Individual
MEGAN MAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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