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Individual

JANA TEAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(937) 974-3258
Mailing address
PO BOX 5061, GREENEVILLE, TN 37743-0001
(937) 974-3258

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1844
TN

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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