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Individual

JAZMINE NICHOLE WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
3960 DOROTHY DR, MACON, GA 31217-5426
(478) 973-8903
Mailing address
3960 DOROTHY DR, MACON, GA 31217-5426
(478) 973-8903

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003766
GA

Other

Enumeration date
11/21/2019
Last updated
01/02/2020
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