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Individual
COURTNEY PAULA TATE
Active
Individual
COURTNEY PAULA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
330027671
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
330027671
NY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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