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Individual
SETH CONWAY
Active
Individual
SETH CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0420
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420
NEW HAMPSHIRE BOARD OF ALLIED HEALTH
NH
Enumeration date
09/14/2021
Last updated
09/14/2021
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