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Individual
ALEXANDRA CONWAY
Active
Individual
ALEXANDRA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, EMT-B
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0912212
PA
2255A2300X
Athletic Trainer
Primary
RT008192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912212
EMT
PA
Enumeration date
11/08/2021
Last updated
12/05/2024
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