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Individual

ANDREA JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
320 EMERGENCY ROOM DRIVE, CB# 7470, CHAPEL HILL, NC 27599-8700
(919) 966-6548
Mailing address
6205 FARRINGTON ROAD, #M6, CHAPEL HILL, NC 27517-7861

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1363
NC

Other

Enumeration date
01/11/2008
Last updated
01/11/2008
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