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Individual
DIANA JAZMIN BETANCOURT
Active
Individual
DIANA JAZMIN BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
000000000000
KS
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2024030608
MO
2255A2300X
Athletic Trainer
24-01780
KS
Other
Enumeration date
01/27/2023
Last updated
06/01/2026
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