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Individual
AUSTYN NEALER
Active
Individual
AUSTYN NEALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1841-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841-39
PROFESSIONAL LICENSE/CREDENTIAL FOR ATHLETIC TRAINING
WI
01
—
2000014527
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
10/06/2016
Last updated
10/06/2016
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