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Individual

JENNIFER MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.A.T.

Contact information

Practice address
7400 95TH ST, PLEASANT PRAIRIE, WI 53158-2714
(262) 515-6470
Mailing address
PO BOX 085124, RACINE, WI 53408-5124

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
237-039
WI

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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