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Individual
MS. TRACI TAUFERNER
Active
Individual
MS. TRACI TAUFERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
950-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950-39
WI STATE LICENSE
WI
Enumeration date
02/19/2014
Last updated
01/30/2017
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