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Individual
DAVID WILLIAMS
Active
Individual
DAVID WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NULL
363A00000X
Physician Assistant
Primary
57409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DCWILLIAMS19
—
CA
Enumeration date
05/22/2019
Last updated
09/26/2023
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