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Individual

DESIREE JEANNE JUBINVILLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.T.C., NHLAT

Contact information

Practice address
48 MAST RD, GOFFSTOWN, NH 03045-2350
(603) 497-8717
(603) 497-8711
Mailing address
46 MAST RD, GOFFSTOWN, NH 03045-2350
(603) 361-2072

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
295
NH

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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