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Individual

JENNA LYNNE DEHOET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/LAT

Contact information

Practice address
1103 40TH ST, ROCK ISLAND, IL 61201-3114
(309) 786-7793
Mailing address
850 43RD AVE STE 300, MOLINE, IL 61265-8401
(309) 743-0300

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000937
IA
2255A2300X
Athletic Trainer
Primary
096.003427
IL

Other

Enumeration date
04/18/2013
Last updated
04/18/2013
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