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Individual

MRS. JENNIFER LEE GALUSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4202 E FOWLER AVE, ATH 100, TAMPA, FL 33620-9951
(813) 974-4146
Mailing address
191 114TH AVE NE, ST PETERSBURG, FL 33716-2830

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1300
FL

Other

Enumeration date
07/28/2006
Last updated
12/23/2014
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