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Individual
MISS EMILY ELIZABETH PUTNEY
Active
Individual
MISS EMILY ELIZABETH PUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001141
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001141
STATE LICSENSURE
IA
Enumeration date
10/02/2013
Last updated
03/02/2020
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