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Individual
MRS. HEATHER CHRISTINA WEIDMAN
Active
Individual
MRS. HEATHER CHRISTINA WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MAT, CEAS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003022
IL
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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