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Individual

KELLY M JAEGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1500 SAN PABLO ST, SPORTS MEDICINE DEPARTMENT, LOS ANGELES, CA 90033-5313
(323) 442-5338
Mailing address
5141 CARTWRIGHT AVE, NORTH HOLLYWOOD, CA 91601-4023
(818) 755-0084

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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