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Individual
REBECCA ANNE SWANBURG
Active
Individual
REBECCA ANNE SWANBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-AT-10181353
OR
363A00000X
Physician Assistant
Primary
0010-12933
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-12933
MEDICAL LICENSE
NC
Enumeration date
03/29/2018
Last updated
08/26/2025
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