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Individual

JENNIFER DAWN MCCOLLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC-L

Contact information

Practice address
110 WHITFORD DR, DURHAM, NC 27708-9982
(919) 668-5744
Mailing address
4025 FORRESTDALE DR, DURHAM, NC 27712-2981
(919) 812-0151

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0190
NC

Other

Enumeration date
03/21/2020
Last updated
03/21/2020
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