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Individual

MRS. JANE ANNE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.T., C.

Contact information

Practice address
11202 JEFFERSON TRACE BLVD, LOUISVILLE, KY 40291-3695
(502) 263-7889
Mailing address
11202 JEFFERSON TRACE BLVD, LOUISVILLE, KY 40291-3695
(502) 263-7889

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT612
KY

Other

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