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Individual
GREYSON DAVIAU
Active
Individual
GREYSON DAVIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039251
PA DEPARTMENT OF HEALTH EMERGENCY MEDICAL TECHNICIAN
PA
01
—
2000053540
CERTIFIED ATHLETIC TRAINER
—
01
—
RT008255
PA STATE BOARD OF MEDICINE
PA
Enumeration date
02/07/2022
Last updated
07/03/2024
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