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Individual

JENNIFER ANNE HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(347) 556-4478
(812) 855-1810
Mailing address
800 N SMITH RD, I-7, BLOOMINGTON, IN 47408-2928
(347) 556-4478
(812) 855-1810

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001129A
IN

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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