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Individual

MISS JESSICA KRISTINE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1431 SARATOGA AVE APT 6, STAR CITY, WV 26505-3181
(724) 510-1155
Mailing address
2910 W WASHINGTON ST, NEW CASTLE, PA 16101-1019
(724) 510-1155

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000021
PA

Other

Enumeration date
02/19/2007
Last updated
07/08/2007
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