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Individual

MISS JENNIFER MARIE WINNINGHAM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
TENNESSEE TECH UNIVERSITY SPORTS MEDICINE, 1600 PEACHTREE AVE, COOKEVILLE, TN 38505-0001
(931) 372-3934
Mailing address
87 WESTGATE CIR, APT B, COOKEVILLE, TN 38506-5484
(931) 260-8173

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001001
TN

Other

Enumeration date
06/18/2006
Last updated
07/08/2007
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