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Individual
FERNANDA BUENO
Active
Individual
FERNANDA BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
AZ
Enumeration date
09/05/2017
Last updated
09/05/2017
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