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Individual

MISS JAMIE LYNN ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
805 AEROVISTA PL, SAN LUIS OBISPO, CA 93401-7919
(805) 235-1455
Mailing address
1531 ALLEGRO CT, PASO ROBLES, CA 93446-1839
(805) 610-7467

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08060402541
NATA
Enumeration date
04/05/2006
Last updated
01/29/2008
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