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Individual
SYDNEY BUTLER
Active
Individual
SYDNEY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IA
2255A2300X
Athletic Trainer
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
TRUMAN
—
Enumeration date
10/31/2017
Last updated
09/11/2019
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