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Individual
MATTHEW MILLS
Active
Individual
MATTHEW MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000983
IA
390200000X
Student in an Organized Health Care Education/Training Program
000983
IA
Other
Enumeration date
10/17/2012
Last updated
02/13/2013
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