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Individual

KASSIDY MORGAN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AT, ATC

Contact information

Practice address
799 N HEWITT RD, YPSILANTI, MI 48197-1701
(734) 487-5179
Mailing address
1325 HAROLD ST, SCOTTVILLE, MI 49454-9285
(231) 794-7942

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002306
MI

Other

Enumeration date
12/14/2020
Last updated
12/14/2020
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