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Individual
ASHLEY FRANCIS WOLLAM
Active
Individual
ASHLEY FRANCIS WOLLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6732817-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120602020
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
—
Enumeration date
11/28/2011
Last updated
11/28/2011
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