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Individual
MR. JARED ELIJAH TRAVER
Active
Individual
MR. JARED ELIJAH TRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3000-39
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2020
Last updated
08/09/2022
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