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Individual

JEFF MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAT, ATC

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6519
(601) 815-3027
Mailing address
137 MULLHERRIN DR, MADISON, MS 39110-4534
(601) 984-6519
(601) 815-0327

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0318
MS

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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