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Individual

ALYSSA FAITH HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1609 JENNIFER DR, COLUMBIA, TN 38401-5431
(931) 381-7159
Mailing address
805 BRADYVILLE PIKE APT B5, MURFREESBORO, TN 37130-5123
(931) 334-3817

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/03/2019
Last updated
10/25/2023
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