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Individual
SPENCER BLEVINS
Active
Individual
SPENCER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005595
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/09/2015
Last updated
06/07/2018
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