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Individual
TROY WILLIAM PEPPERMAN
Active
Individual
TROY WILLIAM PEPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0241
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029902528
NATABOC
MS
01
—
962312
NATA
MS
01
—
AT0241
STATE LICENSE NUMBER-AT
MS
Enumeration date
04/06/2006
Last updated
09/24/2009
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