Individual
DR. JAMIE LYNN MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 RIVERS STREET, HOLMES CONVOCATION CENTER, BOONE, NC 28608-0001
(828) 262-7630
Mailing address
227 WINDRIDGE DR, SUGAR GROVE, NC 28679-9256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0324
NC
Other
Enumeration date
07/20/2006
Last updated
04/09/2014
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