Individual
MISS LAUREN ASHLEY JIMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
85 SUMNER AVE, APARTMENT 5, SPRINGFIELD, MA 01108-2342
(570) 817-1607
Mailing address
85 SUMNER AVE, APARTMENT 5, SPRINGFIELD, MA 01108-2342
(570) 817-1607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
02115
MA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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