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Individual
MRS. JENNIFER MARIE KITANO
Active
Individual
MRS. JENNIFER MARIE KITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC,OTC,OT-SC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1832
MA
2255A2300X
Athletic Trainer
RT003787
PA
Other
Enumeration date
06/02/2006
Last updated
01/18/2012
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