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Individual

AUDRA WHITCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4602 CR 673 # 12481, BUSHNELL, FL 33513-8358
(352) 220-3343
Mailing address
224 RAINBOW DR # 12481, LIVINGSTON, TX 77399-2024
(352) 220-3343

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/17/2023
Last updated
04/17/2023
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