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Individual
ANDREA CORRINE-JACKLYN HUDSON
Active
Individual
ANDREA CORRINE-JACKLYN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT8127
TX
363A00000X
Physician Assistant
Primary
PA15474
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
11/03/2021
Last updated
03/31/2022
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