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Individual

JENNIFER CHIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
1 BOBCAT CIRCLE, BOZEMAN, MT 59717
(636) 248-1184
Mailing address
10 DEER PARK CT, SAINT PETERS, MO 63304-7559

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1695
MT
2255A2300X
Athletic Trainer
NY

Other

Enumeration date
09/11/2014
Last updated
12/12/2017
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