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Individual
NATHANIAL WOOD
Active
Individual
NATHANIAL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802071
NATA BOC
—
01
—
AL2519
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/16/2018
Last updated
07/16/2018
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