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Individual

MR. JEFFREY WAYNE MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
1801 HARVEY MITCHELL PKWY S, COLLEGE STATION, TX 77840-5100
(979) 764-5536
(979) 764-5505
Mailing address
3106 LODGEPOLE DR, COLLEGE STATION, TX 77845-5732
(979) 204-5315

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2114
TX

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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