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Individual
STEPHANIE HUNTSMAN
Active
Individual
STEPHANIE HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001746
VA
2255A2300X
Athletic Trainer
Primary
0506370
NV
2255A2300X
Athletic Trainer
AT.0001085
CO
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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