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Individual
CAITLYN WILSON
Active
Individual
CAITLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008158
PA
Other
Enumeration date
01/02/2019
Last updated
02/21/2023
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