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Individual

JILL CHRISTINA HASKELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7894
(207) 621-7525
Mailing address
41 LONGWOOD DR, GARDINER, ME 04345-6074
(207) 582-6787

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT173
ME

Other

Enumeration date
08/14/2008
Last updated
12/06/2011
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