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Individual
MAKAYLA LANDRUM
Active
Individual
MAKAYLA LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LAT,ATC,CISSN
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
093578
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2017
Last updated
09/04/2020
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