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Individual

ANNALEZA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 LORIS LIONS RD, LORIS, SC 29569-5004
(765) 465-7461
Mailing address
650 HIGHWAY 544, CONWAY, SC 29526-8421

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1871
TN
2255A2300X
Athletic Trainer
36002038A
IN
2255A2300X
Athletic Trainer
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50686
NATA
01
BOC171103
BOC
Enumeration date
08/04/2015
Last updated
01/18/2017
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