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Individual

JENNIFER RAE BRAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA, ATC, LAT

Contact information

Practice address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
070602373
WI
363A00000X
Physician Assistant
Primary
5086-23
WI

Other

Enumeration date
02/27/2007
Last updated
12/20/2021
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